Carefirst of Fort Wayne Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

CAREFIRST OF FORT WAYNE INC.

Practice address

3204 Congressional Pkwy
Fort Wayne, IN 46808-4417

Phone

(260) 373-1600

Fax

(260) 373-1601

NPI assigned

May 23, 2005

Organization subpart

No

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

Authorized official

Name

Chad B Bechert

Title

President

Phone

(260) 373-1600

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Advanced Healthcare Doing business as

Locations

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1083617286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 CONGRESSIONAL PKWY",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468084417",
            "telephone_number": "260-373-1600",
            "fax_number": "260-373-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 CONGRESSIONAL PKWY",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468084417",
            "telephone_number": "260-373-1600",
            "fax_number": "260-373-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREFIRST OF FORT WAYNE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "BECHERT",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-373-1600"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200234680",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "69000127A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bambi Michelle Cardinal, FNP
• Cardiosom LLC Dba MD Sleep of Ft. Wayne
• Cardiosom of Ft. Wayne, Inc
• Cardiosom, LLC
• Cardiovascular Associates of Northeastern Indiana LLC
• Carehalo Ohio LLC
• Cares to Help Home Care
• Cole Carey, RBT
• Sarah Carey
• Thomas Patrick Carey, PHARMD

• Oxygen Equipment & Supplies (DME) in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Oxygen Equipment & Supplies (DME) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.