Advocare, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

ADVOCARE, LLC

Practice address

3201 Stellhorn Rd
Suite a-143
Fort Wayne, IN 46815-4697

Phone

(260) 407-6491

NPI assigned

Feb 11, 2016

Last updated

Feb 11, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Thomas S Talarico, CPA

Title

Director of Compliance & Finance

Phone

(260) 407-6491

Specialties & licenses 1

Addresses

Tax ID family

Advocare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Advocare, LLC

  • Case Management Agency
  • Crown Point, IN
  • NPI 1003486275
  NPD tax ID

Locations

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455148800000",
    "number": "1730548306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 STELLHORN RD",
            "address_2": "SUITE A-143",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468154697",
            "telephone_number": "260-407-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 STELLHORN RD",
            "address_2": "SUITE A-143",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468154697",
            "telephone_number": "260-407-6491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-02-11",
        "status": "A",
        "authorized_official_last_name": "TALARICO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE & FINANCE",
        "authorized_official_telephone_number": "260-407-6491",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Case Management Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; 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.