Organization Active NPI

Ffi Valparaiso Tenant LLC

  • Assisted Living Facility
  • Valparaiso, IN
National Provider Identifier
1316692544
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
FFI VALPARAISO TENANT LLC
Practice address
74 Journey Way
Valparaiso, IN 46383-0078
Phone
(812) 577-8542
NPI assigned
Feb 16, 2022
Last updated
Feb 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Authorized official

Name
Ryan Person
Title
Director of Business Development
Phone
(260) 413-4159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

74 Journey Way
Valparaiso, IN 46383-0078

Mailing address

1102 Chestnut Hills Pkwy Ste 100
Fort Wayne, IN 46814-8728

National Provider Directory

National Provider Directory

Locations

1102 Chestnut Hills Pkwy
Ste 100
Fort Wayne, IN 46814

NPI Registry JSON

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1316692544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 CHESTNUT HILLS PKWY STE 100",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468148728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 JOURNEY WAY",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463830078",
            "telephone_number": "812-577-8542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FFI VALPARAISO TENANT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "PERSON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "260-413-4159"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.