Organization Active NPI

Mayflower Healthcare Partners, LLC

  • Home Health Agency
  • Fort Wayne, IN
National Provider Identifier
1588989669
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MAYFLOWER HEALTHCARE PARTNERS, LLC
Practice address
4759 Cherrywood Dr
Fort Wayne, IN 46845-8795
Phone
(260) 615-5935
Fax
(260) 572-2288
NPI assigned
Apr 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Authorized official

Name
Kevin R Ruark
Title
Ceo
Phone
(734) 414-9990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4759 Cherrywood Dr
Fort Wayne, IN 46845-8795

Mailing address

801 W Ann Arbor TRL
Suite 200
Plymouth, MI 48170-1694
Phone (734) 414-9990

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1588989669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W ANN ARBOR TRL",
            "address_2": "SUITE 200",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701694",
            "telephone_number": "734-414-9990",
            "fax_number": "775-258-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4759 CHERRYWOOD DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468458795",
            "telephone_number": "260-615-5935",
            "fax_number": "260-572-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYFLOWER HEALTHCARE PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-01",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "RUARK",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "734-414-9990"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "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 Apr 5, 2011; 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.