Organization Active NPI

Ur Care Health Services

  • Health Service Clinic/Center
  • Fort Wayne, IN
National Provider Identifier
1508247909
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
UR CARE HEALTH SERVICES
Practice address
2508 Pleasant Ave
Fort Wayne, IN 46805-3320
Phone
(260) 804-2712
NPI assigned
Jun 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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

Authorized official

Name
Ms. Ceara Freeman
Title
Ceo
Phone
(260) 804-2712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

2508 Pleasant Ave
Fort Wayne, IN 46805-3320

Mailing address

2508 Pleasant Ave
Fort Wayne, IN 46805-3320
Phone (260) 804-2712

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1508247909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 PLEASANT AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468053320",
            "telephone_number": "260-804-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 PLEASANT AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468053320",
            "telephone_number": "260-804-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UR CARE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "CEARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "260-804-2712",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jun 11, 2015; 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.