Mark Robert Adang, BA
Individual provider Active NPI Case Manager/Care Coordinator · Fort Wayne, IN
NPI 1427655604 · NPPES record last updated Oct 1, 2020
Key facts
- NPI
- 1427655604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 1825 Beacon St
Fort Wayne, IN 46805-4750 - Phone
- (260) 442-4409
- NPI assigned
- Oct 1, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroad Child & Family Services, Inc. | Current |
Accepting new patients | |
| Crossroad - Fort Wayne Childrens Home | Past |
Accepting new patients |
Locations
1825 Beacon St
Fort Wayne, IN 46805
Phone (260) 484-4153
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
1825 Beacon St
Fort Wayne, IN 46805-4750
Mailing address
1825 Beacon St
Fort Wayne, IN 46805-4750
Phone (260) 442-4409
Other providers in Fort Wayne, IN
- Judy A Adams
- Kathleen Adams
- Malin Suzan Adams
- Mark T Adams
- Steven H Adams
- Adaptive Nursing and Healthcare Services, Inc.
- Dorothea Addo
- John Addo
- Brooke Adelsperger
- Ryan Ades
All providers in Fort Wayne, IN · Case Manager/Care Coordinator in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.