Advance Care Services FTW LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

ADVANCE CARE SERVICES FTW LLC

Practice address

8196 Community LN
Fort Wayne, IN 46819-2048

Phone

(260) 467-9649

NPI assigned

Sep 10, 2021

Organization subpart

No

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

Authorized official

Name

Miss Shavon Lofton

Title

Manager

Phone

(260) 467-9649

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1649949892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8196 COMMUNITY LN",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468192048",
            "telephone_number": "260-467-9649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8196 COMMUNITY LN",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468192048",
            "telephone_number": "260-467-9649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE CARE SERVICES FTW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "LOFTON",
        "authorized_official_first_name": "SHAVON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "260-467-9649",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "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 Sep 10, 2021; 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.