The Waters Of Fort Wayne Skilled Nursing Facility
LBN: Johnson Memorial Hospital
The Waters Of Fort Wayne Skilled Nursing Facility is an health care organization with primary practice located at 5544 E State Blvd , Fort Wayne IN 46815-7475. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Nursing Facility Supplies, Suppliers / Parenteral & Enteral Nutrition. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
Johnson Memorial Hospital can be contacted via phone (260) 749-9506, or through Dunkle, David via phone (317) 736-3396.
Contact Information
Primary practice address
5544 E State Blvd
Fort Wayne IN 46815-7475
Phone: (260) 749-9506
Fax: (260) 493-1524
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 05-000214-2 | Indiana |
| Suppliers / Nursing Facility Supplies | 332BN1400X | ||
| Suppliers / Parenteral & Enteral Nutrition | 332BP3500X | Indiana |
Profile Details
| NPI number | 1033132477 |
|---|---|
| LBN Legal business name | Johnson Memorial Hospital |
| DBA Doing business as | The Waters Of Fort Wayne Skilled Nursing Facility |
| Authorized official | Dunkle, David Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Jan 30th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033132477 | NPPES |
| Indiana | MEDICAID | 100267240A |
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