Organization Active NPI

Iris Family Support Center Inc

  • Community/Behavioral Health Agency
  • Fort Wayne, IN
National Provider Identifier
1104149996
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
39000798A Issued in IN
Legal business name
IRIS FAMILY SUPPORT CENTER INC
Practice address
500 W Main St
Fort Wayne, IN 46802-1406
Phone
(800) 752-7116
Fax
(260) 421-5003
NPI assigned
Mar 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Authorized official

Name
Patricia A FoxNPI 1538270251
Title
Chief Operating Officer
Phone
(260) 421-5000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X 39000798A IN Primary

Addresses

Primary practice location

500 W Main St
Fort Wayne, IN 46802-1406

Mailing address

500 W Main St
Fort Wayne, IN 46802-1406
Phone (800) 752-7116

Other practice location 1

5100 Gaywood Dr
Fort Wayne, IN 46806-5144
Phone (260) 421-5000

Other practice location 2

300 S Saint Louis Blvd Ste 202
South Bend, IN 46617-3044
Phone (260) 421-5000

Other practice location 3

1314 E 7th St Ste 204
Auburn, IN 46706-2533
Phone (260) 421-5000

Other practice location 4

530 Home Ave
Fort Wayne, IN 46807-1651
Phone (260) 421-5000

Other practice location 5

519 Gerber St
Ligonier, IN 46767-2400
Phone (260) 421-5000

National Provider Directory

National Provider Directory

Locations

1314 E 7th St
Ste 204
Auburn, IN 46706
Phone (260) 333-7707

5100 Gaywood Dr
Fort Wayne, IN 46806
Phone (260) 421-5000

500 W Main St
Fort Wayne, IN 46802
Phone (260) 421-5000

412 W Sycamore St
Kokomo, IN 46901

519 Gerber St
Ligonier, IN 46767
Phone (260) 421-5000

1559 E 85th Ave
Merrillville, IN 46410
Phone (219) 696-0217

2004 Ironwood Cir
South Bend, IN 46635

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1104149996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W MAIN ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468021406",
            "telephone_number": "800-752-7116",
            "fax_number": "260-421-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W MAIN ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468021406",
            "telephone_number": "800-752-7116",
            "fax_number": "260-421-5003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5100 Gaywood Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468065144",
            "country_code": "US",
            "telephone_number": "260-421-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 S Saint Louis Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466173044",
            "country_code": "US",
            "telephone_number": "260-421-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1314 E 7th St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "IN",
            "postal_code": "467062533",
            "country_code": "US",
            "telephone_number": "260-421-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 Home Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468071651",
            "country_code": "US",
            "telephone_number": "260-421-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "519 Gerber St",
            "address_purpose": "LOCATION",
            "city": "Ligonier",
            "state": "IN",
            "postal_code": "467672400",
            "country_code": "US",
            "telephone_number": "260-421-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IRIS FAMILY SUPPORT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-08",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "260-421-5000"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "39000798A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.