THE ARC OF NORTHEAST INDIANA, INC. (NPI# 1689051757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689051757 |
| Entity Type | Organization |
| Organization Name | THE ARC OF NORTHEAST INDIANA, INC. |
| Other Organization Name | EASTER SEALS ARC OF NORTHEAST INDIANA |
| Practice Address |
4720 Ashland Dr Fort Wayne IN 46835-1510 |
| Mailing Address |
4919 Coldwater Rd Fort Wayne IN 46825-5532 |
| Practice Telephone | 2604499024 |
| Mailing Telephone | 2604499024 |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2015-04-28 |
| Authorized Official Name | MS. DONNA ELBRECHT (PRESIDENT / CEO) |
| Authorized Official Telephone | 2604564534 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Easter Seals ARC of Northeast Indiana | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639223175 | The Arc of Northeast Indiana, Inc. | Community/Behavioral Health | 4919 Coldwater Rd, Fort Wayne, IN 46825-5532 | 2007-01-22 |
| Street Address |
4720 ASHLAND DR |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46835-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760993810 | Longe Enterprises Corp | Eyewear Supplier (Equipment, not the service) | 5711 Ymca Park Dr East, Fort Wayne, IN 46835 | 2017-10-17 |
| 1801144464 | Tracey Gordon | Physical Therapy Assistant | 2827 Northgate Boulevard, Fort Wayne, IN 46835 | 2012-08-29 |
| 1316179682 | Janet L Daniel | Counselor | 310 E Dupont Road, Suite 2, Fort Wayne, IN 46835 | 2009-08-20 |
| 1083868863 | Nicholas Joseph Sullivan | Chiropractor | 8320 Chapel Bend Drive, Fort Wayne, IN 46835 | 2008-11-06 |
| 1497922090 | Michelle A Bailey | Registered Nurse | 6108 Maplecrest Road, Fort Wayne, IN 46835 | 2008-05-13 |
| 1073789954 | Charles Arthur Bolinger | Technician, Other | 4546 Maplecrest Rd, Ft Wayne, IN 46835 | 2008-05-01 |
| 1851469878 | Richard J Klaehn | Optometrist | 4536 Maplecrest Road, Ft. Wayne, IN 46835 | 2006-11-30 |
| 1639272339 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 6220 St Joseph Center Rd, Fort Wayne, IN 46835 | 2006-09-07 |
| 1275649014 | Adrienne Meyer | Pharmacist | 7909 Brixham Place, Fort Wayne, IN 46835 | 2006-08-22 |
| 1750378147 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 4430 Elsdale Dr, Fort Wayne, IN 46835 | 2005-09-30 |
| Find all providers in zip 46835 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316194863 | The Arc of Northeast Indiana, Inc | Intermediate Care Facility, Mentally Retarded | 4915 Haffner Drive, Fort Wayne, IN 46825-3535 | 2008-08-26 |
| 1184871899 | The Arc of Northeast Indiana, Inc | Intermediate Care Facility, Mentally Retarded | 9104 Strathmore Lane, Fort Wayne, IN 46818 | 2008-08-25 |
| 1700904869 | Voca of Indiana LLC | Intermediate Care Facility, Mentally Retarded | 3335 Sanibel Dr, Fort Wayne, IN 46815-4755 | 2007-03-27 |
| 1285752782 | Voca of Indiana LLC | Intermediate Care Facility, Mentally Retarded | 3814 Walden Run, Fort Wayne, IN 46815-5260 | 2007-03-26 |
| 1336202167 | The Arc of Northeast Indiana Inc. | Intermediate Care Facility, Mentally Retarded | 4422 Lake Ave, Fort Wayne, IN 46815-7224 | 2006-12-19 |
| 1407919236 | The Arc of Northeast Indiana Inc. | Intermediate Care Facility, Mentally Retarded | 2522 Thompson Ave, Fort Wayne, IN 46807-1051 | 2006-12-19 |
| 1225191059 | The Arc of Northeast Indiana Inc. | Intermediate Care Facility, Mentally Retarded | 4420 Woodstock Dr, Fort Wayne, IN 46815-6767 | 2006-12-19 |
| 1447313093 | The Arc of Northeast Indiana Inc. | Intermediate Care Facility, Mentally Retarded | 1414 Inwood Dr, Fort Wayne, IN 46815-7267 | 2006-12-18 |
| 1497818041 | The Arc of Northeast Indiana Inc. | Intermediate Care Facility, Mentally Retarded | 4724 Glenmary Dr, Fort Wayne, IN 46806-2695 | 2006-12-18 |
| 1649333204 | The Arc of Northeast Indiana Inc. | Intermediate Care Facility, Mentally Retarded | 8626 Stand Ridge Run, Fort Wayne, IN 46825-6266 | 2006-12-18 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46835 |
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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.