FRESENIUS MEDICAL CARE FORT WAYNE, LLC (NPI# 1457772410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457772410 |
| Entity Type | Organization |
| Organization Name | FRESENIUS MEDICAL CARE FORT WAYNE, LLC |
| Other Organization Name | FRESENIUS MEDICAL CARE WARSAW |
| Practice Address |
3334 Lake City Hwy Warsaw IN 46580-3923 |
| Practice Telephone | 5742693553 |
| Practice Fax Number | 5742696814 |
| Mailing Telephone | 5742693553 |
| Mailing Fax Number | 5742696814 |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2020-10-12 |
| Authorized Official Name | MARK R FAWCETT (VP AND TREASURER) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Fresenius Medical Care Warsaw | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215358825 | Fresenius Medical Care Fort Wayne, LLC | Clinic/Center | 1797 W Kem Rd, Marion, IN 46952-1733 | 2013-12-27 |
| 1518388461 | Fresenius Medical Care Fort Wayne, LLC | Clinic/Center | 1144 W 15th St, Auburn, IN 46706-2096 | 2013-12-19 |
| 1306267257 | Fresenius Medical Care Fort Wayne, LLC | Clinic/Center | 2859 Northpark Ave, Suite 112, Huntington, IN 46750-7964 | 2013-12-19 |
| 1104247154 | Fresenius Medical Care Fort Wayne, LLC | Clinic/Center | 817 S 13th St, Decatur, IN 46733-1891 | 2013-12-18 |
| 1154742120 | Fresenius Medical Care Fort Wayne, LLC | Clinic/Center | 25 W 2nd St, Peru, IN 46970-2160 | 2013-12-18 |
| 1760803712 | Fresenius Medical Care Fort Wayne, LLC | Clinic/Center | 1850 E 2nd St, Suites 1846 & 1850, Defiance, OH 43512-2502 | 2013-12-18 |
| 1952722076 | Fresenius Medical Care Fort Wayne, LLC | Clinic/Center | 537 W High St, Bryan, OH 43506-1619 | 2013-12-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | FRESENIUS MEDICAL CARE FORT WAYNE, LLC | 920 Winter St, Waltham, MA 02451 |
| Street Address |
3334 LAKE CITY HWY |
| City | WARSAW |
| State | IN |
| Zip Code | 46580-3923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962517714 | Rcg Indiana, L.L.C. | Clinic/Center | 3334 Lake City Hwy, Warsaw, IN 46580-3923 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346803772 | Amber Rae Parker | Physical Therapy Assistant | 2695 Shelden St., Warsaw, IN 46580 | 2019-04-22 |
| 1194255794 | Tyler Scott Kronk | Counselor | 105 Enterprise Drive, Warsaw, IN 46580 | 2017-06-15 |
| 1306244231 | Indiana Physical Therapy, Inc. | Clinic/Center | 3300 Lake City Hwy., Warsaw, IN 46580 | 2014-12-09 |
| 1922434687 | Yen Thi Vu | Pharmacist | 2400 East Center St, Warsaw, IN 46580 | 2013-09-25 |
| 1982956934 | Marsha Lynn Dreyer | Occupational Therapy Assistant | 300 E. Prairie Street, Warsaw, IN 46580 | 2012-10-15 |
| 1215286109 | Planned Parenthood of Indiana Warsaw | Clinic/Center | 630 S. Buffalo St., Suite 1, Warsaw, IN 46580 | 2012-09-06 |
| 1952636243 | Magdi Gabriel | Orthopaedic Surgery | 2087 Phaesant Ridge Drive, Warsaw, IN 46580 | 2009-10-05 |
| 1316132996 | Assisted Living Concepts Inc | Assisted Living Facility | 425 Chinworth Court, Warsaw, IN 46580 | 2007-09-07 |
| 1598986101 | Ericka Ester Haynes | Occupational Therapist | 900 Provident Drive, Warsaw, IN 46580 | 2007-05-01 |
| 1881819555 | Hartwiger Enterprises, Inc. | Home Health | 3510 Commerce Dr., Warsaw, IN 46580 | 2007-04-16 |
| Find all providers in zip 46580 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962517714 | Rcg Indiana, L.L.C. | Clinic/Center | 3334 Lake City Hwy, Warsaw, IN 46580-3923 | 2006-08-20 |
| 1376552331 | Rai Care Centers of North Carolina II, LLC | Clinic/Center | 213 West College Street, Warsaw, NC 28398-1811 | 2006-08-07 |
| 1124081963 | Dca of Warsaw LLC | Clinic/Center | 4709 Richmond Road, Warsaw Village Shopping Center, Warsaw, VA 22572 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942858436 | Fresenius Medical Care Kyana, LLC | Clinic/Center | 604 Mount Tabor Rd, New Albany, IN 47150-2211 | 2019-08-28 |
| 1982263398 | Fresenius Medical Care North Elkhart, LLC | Clinic/Center | 801 W Bristol St, Elkhart, IN 46514 | 2019-06-10 |
| 1114583697 | Dialysis Care Center Merrillville LLC | Clinic/Center | 349 W 80th Pl, Merrillville, IN 46410-5433 | 2019-05-10 |
| 1043875180 | Usrc Mhp, LLC | Clinic/Center | 2460 Intelliplex Dr Ste 120, Shelbyville, IN 46176 | 2019-05-03 |
| 1326601808 | The Dialysis Center of Hammond-whiting LLC | Clinic/Center | 1005 5th Avenue, Hammond, IN 46320-1004 | 2019-04-19 |
| 1770049017 | Dialyze Direct In LLC | Clinic/Center | 13295 Illinois St Ste 210, Carmel, IN 46032-3021 | 2019-02-12 |
| 1174006662 | Isd Renal Inc | Clinic/Center | 2636 W Michigan St, Indianapolis, IN 46222-3727 | 2018-09-11 |
| 1770062663 | The Dialysis Center of Valparaiso LLC | Clinic/Center | 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 | 2018-08-10 |
| 1831685882 | Total Renal Care Inc | Clinic/Center | 2 Executive Dr Ste B, Lafayette, IN 47905-4878 | 2018-07-02 |
| 1609378165 | The Dialysis Center of Gary LLC | Clinic/Center | 1705 West 25th Avenue, Suite 101, Gary, IN 46404-3544 | 2018-03-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.