Active NPI
Fort Wayne Nursing and Rehabilitation LLC
- Substance Abuse Rehabilitation Facility
- Fort Wayne, IN
National Provider Identifier
1043902810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- FORT WAYNE NURSING AND REHABILITATION LLC
- Practice address
- 3320 E State Blvd
Fort Wayne, IN 46805-5601 - Phone
- (260) 483-4343
- NPI assigned
- May 22, 2023
- 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. Aaron Cohen
- Title
- Chief Operating Officer
- Phone
- (773) 966-8045
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
3320 E State Blvd
Fort Wayne, IN 46805-5601
Mailing address
7366 N Lincoln Ave Ste 301
Lincolnwood, IL 60712-1740
Phone (847) 602-8050
Other names 1
- Strive Recovery
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2333438 | Dba Strive Recovery of Fort Wayne | Certificate of waiver | Nov 4, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1043902810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7366 N LINCOLN AVE STE 301",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607121740",
"telephone_number": "847-602-8050",
"fax_number": "224-433-5153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3320 E STATE BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468055601",
"telephone_number": "260-483-4343"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORT WAYNE NURSING AND REHABILITATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-22",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"status": "A",
"authorized_official_last_name": "COHEN",
"authorized_official_first_name": "AARON",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "773-966-8045",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Strive Recovery",
"code": "3",
"type": "Doing Business As"
}
]
}
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- Fort Wayne Neurofeedback, LLC
- Fort Wayne Neuropsychology LLC
- Fort Wayne Ophthalmic Surgical Center, PC
- Fort Wayne Ophthalmology, Inc
- Fort Wayne Oral Maxillofacial Surgery & Implant Center, LLC
- Fort Wayne Orthopaedics LLC
- Fort Wayne Orthopaedics LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.