National Provider Identifier Database

REHAB HOSPITAL OF FORT WAYNE LLC
Rehabilitation Hospital

A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.


Contact Information

REHAB HOSPITAL OF FORT WAYNE LLC
7970 W JEFFERSON BLVD
FORT WAYNE, IN46804-4140
Phone: 260-435-6100
Fax:
Website:
Specialty Taxonomy Code
* Rehabilitation Hospital 283X00000X

* Indicates primary specialty

NPI Profile & details for REHAB HOSPITAL OF FORT WAYNE LLC

NPI Number 1649221680
Legal business name
LBN
REHAB HOSPITAL OF FORT WAYNE LLC
Authorized official JOHN DUGGAN - (VP)
Entity Organization
Organization subpart No
Enumeration date 05/15/2006
Last updated 09/10/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers
  • IN License #: 06-006245-1
  • IN Medicaid: 200097450A
  • IN Other: 153030 MEDICARE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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