Fort Wayne Aal LP

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FORT WAYNE AAL LP

Doing business as

Silver Birch of Fort Wayne

Practice address

7125 S Hanna Street
Fort Wayne, IN 46816

Phone

(260) 447-8811

NPI assigned

Jun 14, 2018

Last updated

Nov 30, 2023By 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

Mrs. Naila Towne

Title

Controller

Phone

(312) 933-1523

Specialties & licenses 1

Addresses

Other names 1

• Silver Birch of Fort Wayne Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1073006938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W WACKER DR STE 400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606011781",
            "telephone_number": "312-933-1523",
            "fax_number": "312-488-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 S HANNA STREET",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46816",
            "telephone_number": "260-447-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WAYNE AAL LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-14",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "TOWNE",
        "authorized_official_first_name": "NAILA",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "312-933-1523",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver Birch of Fort Wayne",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Silver Birch of Fort Wayne",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raphael Fredrick Forestieri, L.AC.
• Cory Lee Fornal, DPT
• Dana R Forrest, MD
• Jeri Ann Forrest, LCSW
• Deanna Forsythe
• Fort Wayne Al, LLC
• Fort Wayne Allergy and Asthma Consultants, Inc.
• Fort Wayne Allergy and Asthma Consultants, Inc.
• Fort Wayne Audiology Consultants, LLC (Lowe Audiology and Hearing Care)
• Fort Wayne Autism Center Inc

• 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 Nov 30, 2023; 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.

Verify at the official NPI Registry.