Organization Active NPI

Maxcare Orthotics and Prosthetics LLC

  • Prosthetic/Orthotic Supplier
  • Fort Wayne, IN
National Provider Identifier
1861732935
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
MAXCARE ORTHOTICS AND PROSTHETICS LLC
Practice address
3610 New Vision Dr
Fort Wayne, IN 46845-1706
Phone
(260) 489-2727
Fax
(260) 489-2777
NPI assigned
Feb 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Authorized official

Name
Mark A Haines, CO
Title
President
Phone
(574) 267-5852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

3610 New Vision Dr
Fort Wayne, IN 46845-1706

Mailing address

3159 E Center Street Ext
Warsaw, IN 46582-3901
Phone (260) 489-2727

National Provider Directory

National Provider Directory

Locations

3610 New Vision Dr
Fort Wayne, IN 46845
Phone (260) 489-2727

NPI Registry JSON

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1861732935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3159 E CENTER STREET EXT",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465823901",
            "telephone_number": "260-489-2727",
            "fax_number": "260-489-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 NEW VISION DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451706",
            "telephone_number": "260-489-2727",
            "fax_number": "260-489-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXCARE ORTHOTICS AND PROSTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-26",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "HAINES",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-267-5852",
        "authorized_official_credential": "CO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 26, 2013; 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.