Elevate Senior Living - Fort Wayne

LBN: Major Hospital
Elevate Senior Living - Fort Wayne is an health care organization with primary practice located at 3420 East State Boulevard , Fort Wayne IN 46733-2303. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Major Hospital can be contacted via phone (260) 484-3120, or through Horner, John M via phone (317) 398-5252.

Contact Information

Primary practice address
3420 East State Boulevard Fort Wayne IN 46733-2303
Phone: (260) 484-3120
Fax: (260) 483-4455
Website:
Map and Directions
Authorized official contact:
Name: Horner, John M
Phone: (317) 398-5252

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 050001581 Indiana
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 14-000158-2 Indiana

Profile Details

NPI number 1881682672
LBN Legal business name Major Hospital
DBA Doing business as Elevate Senior Living - Fort Wayne
Authorized official Horner, John M
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2005
Last updated Mar 25th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881682672 NPPES
Indiana MEDICAID 100291490

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