GENTLEMIND HEALTH SERVICES (NPI# 1629679170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629679170 |
| Entity Type | Organization |
| Organization Name | GENTLEMIND HEALTH SERVICES |
| Practice Address |
3635 Lake Ave Fort Wayne IN 46805-5539 |
| Mailing Address |
12621 Braveheart Dr Fort Wayne IN 46814-7482 |
| Practice Telephone | 6104165241 |
| Mailing Telephone | 6104165241 |
| Mailing Fax Number | 2602396001 |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |
| Authorized Official Name | DORIS OKOLI (NURSE PRACTITIONER/OWNER/CEO) |
| Authorized Official Telephone | 6104165241 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
3635 LAKE AVE |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46805-5539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589546 | Connor Gemlick | Student in an Organized Health Care Education/Training Program | 1918 Carew St., Fort Wayne, IN 46805 | 2020-08-21 |
| 1710464086 | S.t.a.r. Care Services | Clinic/Center | 3521 Lake Avenue, Suite #4, Fort Wayne, IN 46805 | 2018-07-19 |
| 1083122865 | Noel Shafi | Counselor | 3010 East State Boulevard, Fort Wayne, IN 46805 | 2018-01-16 |
| 1063963627 | Toni L Irby | Specialist | 3219 E State Blvd, Fort Wayne, IN 46805 | 2016-10-19 |
| 1639626211 | Logan Schwerer | Pharmacist | 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 | 2016-09-01 |
| 1063817104 | Michale Diane Rothgeb | Physical Therapy Assistant | 2200 Randollia Dr, Fort Wayne, IN 46805 | 2014-10-31 |
| 1124435789 | Julia I. Mcfann | Physical Therapist | 2200 Randalia Dr, Fort Wayne, IN 46805 | 2014-07-16 |
| 1083036974 | Capital Senior Living Properties 4, Inc. | Assisted Living Facility | 3320 East State Boulevard, Fort Wayne, IN 46805 | 2014-01-10 |
| 1356772396 | Alexander James Medical Supply | Durable Medical Equipment & Medical Supplies | 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 | 2013-12-02 |
| 1043595689 | Randy James Jennings | Pharmacist | 923 Northcrest Business Center, 6-d, Fort Wayne, IN 46805 | 2011-10-14 |
| Find all providers in zip 46805 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366750028 | Nierman Chiropractic and Wellness LLC | Clinic/Center | 1921 Hughes Dr, Fort Wayne, IN 46816-3102 | 2010-09-15 |
| 1487734240 | Parkview Occupational Health | Clinic/Center | 3300 East State Street, Fort Wayne, IN 46703 | 2006-10-16 |
| 1801443098 | Sensory Connections Pediatric Occupational Therapy LLC | Clinic/Center | 134 E Collins Rd, Fort Wayne, IN 46825-5302 | 2019-08-22 |
| 1316453160 | Acupuncture and Wellness Center, LLC | Clinic/Center | 6049 E State Blvd, Fort Wayne, IN 46815-7620 | 2017-12-15 |
| 1972957041 | Parkview Hospital | Clinic/Center | 2231 Carew St, Fort Wayne, IN 46805-4713 | 2016-04-14 |
| 1437517968 | Michelle L. Frye, O.d. LLC | Clinic/Center | 10240 Coldwater Rd, Fort Wayne, IN 46825-2035 | 2016-01-28 |
| 1194180117 | Children's Autism Center | Clinic/Center | 10313 Aboite Center Road, Fort Wayne, IN 46804 | 2015-12-17 |
| 1649692385 | Ruckel Chiropractic PC | Clinic/Center | 7231 Engle Rd, Suite 100, Fort Wayne, IN 46804-2226 | 2014-01-15 |
| 1679917710 | Purdue University | Clinic/Center | 2101 E Coliseum Blvd, Walb Union 234, Fort Wayne, IN 46805-1445 | 2013-04-19 |
| 1255573325 | J & A Mobility Transportation | Clinic/Center | 11207 Rolling Pine Run, Fort Wayne, IN 46814-8120 | 2009-04-03 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46805 |
Please comment or provide details below to improve the information on GENTLEMIND HEALTH SERVICES.
| 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.