Samina Recovery Center, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

SAMINA RECOVERY CENTER, LLC

Practice address

3224 Mallard Cove LN
Fort Wayne, IN 46804-2883

Phone

(260) 446-7613

Fax

(260) 400-9985

NPI assigned

Jun 23, 2025

Last updated

Jun 23, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tei Ferguson

Title

Owner

Phone

(260) 446-7613

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1043107717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4929 HOAGLAND AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468073226",
            "telephone_number": "260-446-7613",
            "fax_number": "260-400-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3224 MALLARD COVE LN",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042883",
            "telephone_number": "260-446-7613",
            "fax_number": "260-400-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMINA RECOVERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "TEI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-446-7613"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Salway
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• Tariq Kamal Sami, MD
• Lesley Sammons, MA
• Emilie Victoria Samp, PT, DPT
• Travis Samples, PA-C
• Kristy Ann Samra, PT, DPT
• Iqra Samreen

• Substance Use Disorder Rehabilitation Clinic/Center in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.