American Senior Home Care of Ft Wayne, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AMERICAN SENIOR HOME CARE OF FT WAYNE, LLC

Practice address

6900 Gray Rd
Indianapolis, IN 46237-3209

Phone

(317) 788-2500

Fax

(317) 780-4688

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. James G Burkhart, CPA

Title

Ceo

Phone

(317) 788-2500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1639244163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 GRAY RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462373209",
            "telephone_number": "317-788-2500",
            "fax_number": "317-780-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 GRAY RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462373209",
            "telephone_number": "317-788-2500",
            "fax_number": "317-780-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN SENIOR HOME CARE OF FT WAYNE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "BURKHART",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-788-2500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.