Organization Active NPI

A.W. Holdings, LLC

Doing business as Benchmark Human Services

  • Mental Health Counselor
  • Fort Wayne, IN
National Provider Identifier
1013578749
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
A.W. HOLDINGS, LLC
Doing business as
Benchmark Human Services
Practice address
3900 Hursh Rd
Fort Wayne, IN 46845-9677
Phone
(260) 637-3608
NPI assigned
Jun 24, 2019
Last updated
Jun 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nancy Ann Bobay
Title
Chief Compliance Officer
Phone
(260) 207-5604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3900 Hursh Rd
Fort Wayne, IN 46845-9677

Mailing address

8515 Bluffton Rd
Fort Wayne, IN 46809-3022
Phone (260) 744-6145

Other names 1

  • Benchmark Human Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Aw Holdings LLC53 organizations share this tax ID, including this one

Locations

3900 Hursh Rd
Fort Wayne, IN 46845
Phone (260) 637-3608

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561334400000",
    "number": "1013578749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8515 BLUFFTON RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468093022",
            "telephone_number": "260-744-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 HURSH RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468459677",
            "telephone_number": "260-637-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A.W. HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A",
        "authorized_official_last_name": "BOBAY",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "260-207-5604"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benchmark Human Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.