Hih Fort Wayne, LLC D/B/a

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

HIH FORT WAYNE, LLC D/B/A

Practice address

820 Mill Lake Rd
Fort Wayne, IN 46845-6400

Phone

(260) 633-2005

Fax

(260) 338-2536

NPI assigned

Jul 31, 2019

Organization subpart

No

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

Authorized official

Name

Melissa Siren

Title

Director of Operations

Phone

(260) 633-2005

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Senior Helpers Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564531200000",
    "number": "1992359632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 MILL LAKE RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468456400",
            "telephone_number": "260-633-2005",
            "fax_number": "260-338-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 MILL LAKE RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468456400",
            "telephone_number": "260-633-2005",
            "fax_number": "260-338-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIH FORT WAYNE, LLC D/B/A",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-31",
        "last_updated": "2019-07-31",
        "status": "A",
        "authorized_official_last_name": "SIREN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "260-633-2005"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE PAY AND VA",
            "identifier": "19-014687-1",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://shfortwayne.clearcareonline.com",
            "affiliation": "N",
            "endpointDescription": "Home Care System for scheduling, invoicing, billing",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Scheduling, Invoicing and Billing",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDF, Excel, Log-in to view",
            "address_1": "820 Mill Lake Rd",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468456400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Senior Helpers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kobe Bernard Hicks
• Sheena Ann Hicks, COTA/L
• James C Higginbotham, P. A. - C
• Angie Marie High
• Mary Jo Ann Highlen, NP-C
• Muhannad Hijazi
• Morgan Taylor Hilbert, PHARMD
• Amy Hile, MA, LAT, ATC
• Kaitlin Hilger, NP
• Richard M Hilker, DPM

• In Home Supportive Care Agency in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• In Home Supportive Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.