Active NPI
Jericho Partners, LLC
- In Home Supportive Care Agency
- Fort Wayne, IN
National Provider Identifier
1831860030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.