Active NPI
Advocare, LLC
- Case Management Agency
- Crown Point, IN
National Provider Identifier
1003486275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- ADVOCARE, LLC
- Practice address
- 9800 Connecticut Drive
Crown Point, IN 46307 - Phone
- (219) 789-8426
- Fax
- (888) 972-4058
- NPI assigned
- Jun 29, 2021
- Last updated
- Jun 29, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thomas S Talarico
- Title
- Director of Compliance
- Phone
- (260) 341-3262
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NU | Primary |
Addresses
Primary practice location
9800 Connecticut Drive
Crown Point, IN 46307
Mailing address
3201 Stellhorn Road
Suite a-145
Fort Wayne, IN 46815
Phone (260) 341-3262
National Provider Directory
National Provider Directory- Tax ID family
- Advocare LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Fort Wayne, IN
- NPI 1730548306
Locations
3201 Stellhorn Rd
Ste A145
Fort Wayne, IN 46815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624924800000",
"number": "1003486275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 STELLHORN ROAD",
"address_2": "SUITE A-145",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "46815",
"telephone_number": "260-341-3262",
"fax_number": "888-972-4058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9800 CONNECTICUT DRIVE",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "46307",
"telephone_number": "219-789-8426",
"fax_number": "888-972-4058"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVOCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-29",
"last_updated": "2021-06-29",
"certification_date": "2021-06-29",
"status": "A",
"authorized_official_last_name": "TALARICO",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
"authorized_official_telephone_number": "260-341-3262",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Advanced Pain & Anesthesia Consultants, PC (Apac, PC)
- Advanced Pain Centers LLC
- Lovellyn Sagsagat Aganon
- Maria Joanna Agoris, PA-C
- Ava Ahmad
- Faheem Ahmad, MD
- Waleed Ahmed, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.