# EXTENDED CARE SPECIALISTS, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669873733
- **Authorized official:** JENNIFER RUCCI MD (OWNER)
- **Authorized official phone:** (855) 743-2247

## Contact information

- **Practice address:** 3512 STELLHORN RD, FORT WAYNE, IN 46815-4631
- **Practice address phone:** (260) 483-9081
- **Practice address fax:** (260) 483-9196
- **Mailing address:** PO BOX 392552, PITTSBURGH, PA 15251-9552
- **Mailing address phone:** (855) 743-2247

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/09/2014
- **Last updated:** 09/30/2024