Active NPI
Jarpole Enterprises LLC
Doing business as Fort Wayne Recovery Center
- Substance Abuse Rehabilitation Facility
- Fort Wayne, IN
National Provider Identifier
1437658572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- JARPOLE ENTERPRISES LLC
- Doing business as
- Fort Wayne Recovery Center
- Practice address
- 310 E Dupont Rd
Fort Wayne, IN 46825-8000 - Phone
- (574) 377-8643
- NPI assigned
- Feb 5, 2018
- Last updated
- Feb 8, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Ashpole
- Title
- Owner
- Phone
- (574) 377-8643
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | IN | Primary |
Addresses
Primary practice location
310 E Dupont Rd
Fort Wayne, IN 46825-8000
Mailing address
310 E Dupont Rd
Fort Wayne, IN 46825-8000
Other names 1
- Fort Wayne Recovery Center
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2144592 | Fort Wayne Recovery LLC | Certificate of waiver | Feb 19, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1518048000000",
"number": "1437658572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 E DUPONT RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468258000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 E DUPONT RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468258000",
"telephone_number": "574-377-8643"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JARPOLE ENTERPRISES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-05",
"last_updated": "2018-02-08",
"status": "A",
"authorized_official_last_name": "ASHPOLE",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "574-377-8643"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fort Wayne Recovery Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Fort Wayne Recovery Center",
"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 Feb 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.