Organization Active NPI

Jericho Partners, LLC

  • In Home Supportive Care Agency
  • Fort Wayne, IN
National Provider Identifier
1831860030
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
JERICHO PARTNERS, LLC
Practice address
2789 Maplecrest Rd Ste B
Fort Wayne, IN 46815-7031
Phone
(260) 485-2424
NPI assigned
Sep 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Authorized official

Name
Kevin M Neebes
Title
President
Phone
(260) 485-2424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2789 Maplecrest Rd Ste B
Fort Wayne, IN 46815-7031

Mailing address

2789 Maplecrest Rd Ste B
Fort Wayne, IN 46815-7031
Phone (260) 485-2424

Other names 1

  • Home Instead 296 Doing business as

National Provider Directory

National Provider Directory

Locations

2789 Maplecrest Rd
Ste B
Fort Wayne, IN 46815
Phone (260) 485-2424

NPI Registry JSON

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1831860030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2789 MAPLECREST RD STE B",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468157031",
            "telephone_number": "260-485-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2789 MAPLECREST RD STE B",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468157031",
            "telephone_number": "260-485-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERICHO PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-27",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "NEEBES",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-485-2424"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead 296",
            "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 Mar 14, 2023; 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.