Hearth at Sycamore Village

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HEARTH AT SYCAMORE VILLAGE

Practice address

611 W County Line Rd S
Fort Wayne, IN 46814-7592

Phone

(260) 625-4025

NPI assigned

Apr 8, 2019

Organization subpart

No

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

Authorized official

Name

Dave Deffenbaugh

Title

Executive Director

Phone

(260) 625-4025

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554681600000",
    "number": "1831652957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W COUNTY LINE RD S",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468147592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W COUNTY LINE RD S",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468147592",
            "telephone_number": "260-625-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTH AT SYCAMORE VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-08",
        "last_updated": "2019-04-08",
        "status": "A",
        "authorized_official_last_name": "DEFFENBAUGH",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "260-625-4025"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hearcare Professional Corporation (HearCare Audiology & Hearing Aid Centers)
• Tracy Hearn, RN
• Heart Care LLC
• Heart of Families LLC (Heart Of Families Medical Services)
• Heart to Heart Hospice of Northeast Indiana, LLC
• Heartland Communities Inc
• Heartland Home Care LLC (ProMedica Home Health (Ft. Wayne))
• Heartland Hospice Services LLC (ProMedica Hospice (Ft. Wayne))
• Heartland Hospice Services, LLC (ProMedica Hospice (Ft. Wayne))
• Heath Lisenby, LLC (Lisenby Counseling)

• Assisted Living Facility in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Assisted Living Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.