NPIMap

Organization Active NPI

Maple Seed Farms, Inc.

  • Clinic/Center
  • Fort Wayne, IN
National Provider Identifier
1396197919
Registry record updated Jul 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MAPLE SEED FARMS, INC.
Practice address
101 W Dupont Rd
Fort Wayne, IN 46825-1915
Phone
(260) 489-1774
Fax
(260) 489-1777
NPI assigned
Jul 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2016

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

Authorized official

Name
Mrs. Cyntha Ann Kacsor
Title
Executive Director
Phone
(260) 489-1774

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Clinic/Center 261Q00000X Primary
Developmental Disabilities Clinic/Center 261QD1600X

Addresses

Primary practice location

101 W Dupont Rd
Fort Wayne, IN 46825-1915

Mailing address

101 W Dupont Rd
Fort Wayne, IN 46825-1915
Phone (260) 489-1774

National Provider Directory

National Provider Directory
Tax ID family
Maple Seed Farms Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

101 W DuPont Rd
Fort Wayne, IN 46825
Phone (260) 489-1774

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 46

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

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467849600000",
    "number": "1396197919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W DUPONT RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251915",
            "telephone_number": "260-489-1774",
            "fax_number": "260-489-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W DUPONT RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251915",
            "telephone_number": "260-489-1774",
            "fax_number": "260-489-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE SEED FARMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-07",
        "last_updated": "2016-07-07",
        "status": "A",
        "authorized_official_last_name": "KACSOR",
        "authorized_official_first_name": "CYNTHA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "260-489-1774",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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, 2016; 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.