Lamplight Inn of Fort Wayne, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LAMPLIGHT INN OF FORT WAYNE, LLC

Practice address

300 E Washington Blvd
Fort Wayne, IN 46802-3124

Phone

(260) 422-5511

Fax

(260) 422-3778

NPI assigned

Apr 1, 2011

Last updated

Apr 1, 2011By 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

Ms. Severine Petras

Title

Ceo

Phone

(260) 710-0304

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1063701886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E. WASHINGTON BLVD.",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46802",
            "telephone_number": "260-422-5511",
            "fax_number": "260-422-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E WASHINGTON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468023124",
            "telephone_number": "260-422-5511",
            "fax_number": "260-422-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAMPLIGHT INN OF FORT WAYNE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "PETRAS",
        "authorized_official_first_name": "SEVERINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "260-710-0304",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Lambright, M.S., CCC-SLP
• Kaitlin Renee Lamison, MT-BC
• Ava Lamm, DO
• Debra Lammers, PA-C
• Raelene Marie Lamott
• Justine Elizabeth Lance
• Kayleigh M Land
• Lindsay Landgrave, PHARMD
• Linda M Landin, MD
• Ronald J Landin, MD

• Assisted Living Facility in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Assisted Living Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.