Active NPI
Mayflower Healthcare Partners, LLC
- Home Health Agency
- Fort Wayne, IN
National Provider Identifier
1588989669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.