Organization Active NPI

Recovery Health Services

  • Nursing Facility/Intermediate Care Facility
  • Fort Wayne, IN
National Provider Identifier
1669698569
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
RECOVERY HEALTH SERVICES
Doing business as
Byron Health Center
Practice address
12101 Lima Rd
Fort Wayne, IN 46818-8903
Phone
(260) 637-3166
Fax
(260) 637-3536
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Authorized official

Name
Peter A Marotti
Title
Administrator
Phone
(260) 637-3166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X Primary

Addresses

Primary practice location

12101 Lima Rd
Fort Wayne, IN 46818-8903

Mailing address

12101 Lima Rd
Fort Wayne, IN 46818-8903
Phone (260) 637-3166

Other names 1

  • Byron Health Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1669698569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12101 LIMA RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468188903",
            "telephone_number": "260-637-3166",
            "fax_number": "260-637-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12101 LIMA RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468188903",
            "telephone_number": "260-637-3166",
            "fax_number": "260-637-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "MAROTTI",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "260-637-3166"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Byron Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 19, 2007; 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.