Ev FW Limited Partnership

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EV FW LIMITED PARTNERSHIP

Practice address

12523 Auburn Rd
Fort Wayne, IN 46845-8797

Phone

(260) 637-2830

Fax

(260) 367-9393

NPI assigned

Feb 18, 2020

Organization subpart

No

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

Authorized official

Name

Greg Echols

Title

Co-President of Management Company

Phone

(815) 935-1992

Specialties & licenses 1

Addresses

Other names 1

• Evergreen Village at 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

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1194358119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E COURT ST STE 400",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013848",
            "telephone_number": "815-935-1992",
            "fax_number": "815-935-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12523 AUBURN RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468458797",
            "telephone_number": "260-637-2830",
            "fax_number": "260-367-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EV FW LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "ECHOLS",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CO-PRESIDENT OF MANAGEMENT COMPANY",
        "authorized_official_telephone_number": "815-935-1992"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Village at Fort Wayne",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Evergreen Village at Fort Wayne",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dawn Lesley Etzel
• Kam Ellen Etzler, RPH
• Ashley Susan Eubank
• Brandon James Euen, PHARMD
• Justin Eutsler, COTA
• Andrea J. Evans-Seibert, NP
• Adrienne Michelle Evans, NP
• Benjamin Robert Evans, DDS
• Blake Evans
• Brandon Evans, MSW

• 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 Sep 18, 2024; 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.