NPIMap

Organization Active NPI

The Arc of Northeast Indiana Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Fort Wayne, IN
National Provider Identifier
1407919236
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
2602B0001JN08 Issued in IN
Legal business name
THE ARC OF NORTHEAST INDIANA INC.
Practice address
2522 Thompson Ave
Fort Wayne, IN 46807-1051
Phone
(260) 456-4534
Fax
(260) 745-5200
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Stephen Hinkle
Title
President
Phone
(260) 456-4534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 2602B0001JN08 IN Primary

Addresses

Primary practice location

2522 Thompson Ave
Fort Wayne, IN 46807-1051

Mailing address

4919 Coldwater Rd
Fort Wayne, IN 46825-5532
Phone (260) 456-4534

Other names 1

  • Easter Seals ARC of Northeast Indiana Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Arc of Northeast Indiana Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407919236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4919 COLDWATER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468255532",
            "telephone_number": "260-456-4534",
            "fax_number": "260-745-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2522 THOMPSON AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468071051",
            "telephone_number": "260-456-4534",
            "fax_number": "260-745-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARC OF NORTHEAST INDIANA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HINKLE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-456-4534",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "IN",
            "license": "2602B0001JN08",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Easter Seals ARC of Northeast Indiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.