Pwa & Spencer Home LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

PWA & SPENCER HOME LLC

Practice address

27 Pequignot Dr
Pierceton, IN 46562-9081

Phone

(260) 702-3752

Fax

(866) 681-7794

NPI assigned

Oct 25, 2021

Organization subpart

No

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

Authorized official

Name

Kolby Rutherford

Title

VP of Finance & Controller

Phone

(260) 702-3640

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1558025734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 ILLINOIS RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468041208",
            "telephone_number": "260-702-3640",
            "fax_number": "866-681-7794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 PEQUIGNOT DR",
            "city": "PIERCETON",
            "state": "IN",
            "postal_code": "465629081",
            "telephone_number": "260-702-3752",
            "fax_number": "866-681-7794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3619 Harris Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468081450",
            "country_code": "US",
            "telephone_number": "260-702-3752",
            "fax_number": "866-681-7794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PWA & SPENCER HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "RUTHERFORD",
        "authorized_official_first_name": "KOLBY",
        "authorized_official_title_or_position": "VP OF FINANCE & CONTROLLER",
        "authorized_official_telephone_number": "260-702-3640"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Pierceton, IN
• Providers in Pierceton, IN by specialty
• Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.