EXTENDED CARE SPECIALISTS, INC – NPI #1134146079
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

EXTENDED CARE SPECIALISTS, INC is a provider located in FORT WAYNE, IN. NPPES has assigned the NPI number 1134146079 to EXTENDED CARE SPECIALISTS, INC on July 16, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Sep 30, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EXTENDED CARE SPECIALISTS, INC below.

NPI Profile for
EXTENDED CARE SPECIALISTS, INC

NPI Number
1134146079
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EXTENDED CARE SPECIALISTS, INC
Primary location
3512 STELLHORN RD
FORT WAYNE, IN 46815
Phone: (260) 483-9081 Fax: (260) 483-9196
2 Other location(s):
828 Lane Allen Rd Ste 219
Lexington, KY 40504-3659
Phone: (260) 483-9081
3958 Brown Park Dr Ste D
Hilliard, OH 43026-1160
Phone: (260) 483-9081
Mailing address
PO BOX 392552
PITTSBURGH, PA 15251-9552
Phone: (260) 483-9081 Fax: (260) 483-9196
Organization Subpart
No
Authorized Official
JENNIFER RUCCI
OWNER
Phone: (855) 743-2247
Updated
Certification Date
Sep 30, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for EXTENDED CARE SPECIALISTS, INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherGROUP NUMBERIN224350
otherGROUP NUMBERKYK304000
otherGROUP NUMBEROHH714830
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.