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Organization

NORTHERN INDIANA INTERIM HEALTHCARE COMPANY LLC

Active
Other names
Interim Healthcare of Fort Wayne
Organization subpart
No

Provider details

NPI number
Authorized official
STEVEN JAMES ALESSANDRO (CEO)
(847) 457-1808
Entity
Organization

Contact information

Practice address
111 E LUDWIG RD STE 105, FORT WAYNE, IN 46825-4240
(260) 482-9405
(260) 482-7180
Mailing address
111 E LUDWIG RD STE 105, FORT WAYNE, IN 46825-4240
(260) 482-9405
(260) 482-7180

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
04-003294-1
IN
251G00000X
Community Based Hospice Care Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200 396 990A
IN
05
200398720B
IN
Enumeration date
07/27/2005
Last updated
09/09/2025
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