LS2 Ventures LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

LS2 VENTURES LLC

Practice address

2402 Beacon St
Fort Wayne, IN 46805-3808

Phone

(260) 484-4212

Fax

(260) 484-5092

NPI assigned

Apr 15, 2009

Organization subpart

No

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

Authorized official

Name

Larry Shaw

Title

Ceo

Phone

(260) 484-4212

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239753600000",
    "number": "1265675698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 BEACON ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468053808",
            "telephone_number": "260-484-4212",
            "fax_number": "260-484-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 BEACON ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468053808",
            "telephone_number": "260-484-4212",
            "fax_number": "260-484-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LS2 VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-15",
        "last_updated": "2009-04-15",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "260-484-4212"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200897530",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kara Jo Lowenstein, M.A., C.C.C., SLP
• David M Lowry
• Holly Marie Lowry, MA
• Kylie Rae Lowry, LMFT
• Nikya Lowry
• Michael Joseph Luarde, D.D.S.
• Connie J Lubbehusen, PA
• Stephen Lubbehusen, ATC,LAT
• Yvonne C Lubia, MD
• Sophia Lubrin, MD

• Developmentally Disabled Services Day Training Agency in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Developmentally Disabled Services Day Training Agency in Indiana

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