FORT WAYNE RECOVERY CENTER
NPI 1437658572
Substance Abuse Rehabilitation Facility in Fort Wayne, IN

NPI Status: Active since February 05, 2018

Contact Information

310 E DUPONT RD
FORT WAYNE, IN
ZIP 46825
Phone: (574) 377-8643

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • Accepts Insurance
  • CLIA Number: 15D2144592
  • CLIA Cert. Type: Other - SUBSTANCE USE TREATMENT
  • CLIA Exp. Date: 02-19-2026

About FORT WAYNE RECOVERY CENTER

This page provides the complete NPI Profile along with additional information for Fort Wayne Recovery Center, a provider established in Fort Wayne, Indiana operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1437658572 assigned on February 2018. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Fort Wayne Recovery Center. The authorized official of this NPI record is Michael Ashpole (Owner)

NPI
1437658572
Provider Legal Name
JARPOLE ENTERPRISES LLC
Other Organization Name
FORT WAYNE RECOVERY CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
310 E DUPONT RD FORT WAYNE, IN 46825
Location Phone
(574) 377-8643
Mailing Address
310 E DUPONT RD FORT WAYNE, IN 46825
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-05-2018
Last Update Date
02-08-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
License State
IN
Taxonomy Description
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Central Bronze - HMO
  • Central Bronze + Vision + Adult Dental - HMO
  • Central Gold - HMO
  • Central Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHAEL ASHPOLE

Authorized Official Title
OWNER
Authorized Official Phone
(574) 377-8643

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
15D2144592
Facility Type
Other - SUBSTANCE USE TREATMENT
Certificate Effective Date
February 20, 2024
Certificate Expiration Date
February 19, 2026
Laboratory Director
NICOLE L. HAMER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Fort Wayne Recovery Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for FORT WAYNE RECOVERY CENTER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1437658572
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
246712516514
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 6 + 7 + 1 + 2 + 5 + 1 + 6 + 5 + 1 + 4 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1437658572 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1689632804 TANYA LAURETTE GREEN MSW
Individual
Social Worker (Clinical)310 E DUPONT RD
FT WAYNE, IN 46825
(260) 490-8110
1114935137MS. LUCILLE MARIE ISAACS LCSW LMFT
Individual
Social Worker (Clinical)310 E DUPONT RD SUITE 2
FORT WAYNE, IN 46825
(260) 490-8110
1225144629DR. MARY M MALONEY M.D.
Individual
Psychiatry & Neurology (Psychiatry)310 E DUPONT RD SUITE 2
FORT WAYNE, IN 46825
(260) 490-8110
1477722197HERBERT P. TRIER, M.D.
Organization
Psychiatry & Neurology (Psychiatry)310 E DUPONT RD SUITE 2
FORT WAYNE, IN 46825
(260) 490-8110
1346369568NORTHERN INDIANA INTERIM HEALTHCARE
Organization
Home Health310 E DUPONT RD SUITE 1
FORT WAYNE, IN 46825
(260) 969-5991
1093444143 KATHRYN VALENTIC
Individual
Counselor (Mental Health)310 E DUPONT RD
FORT WAYNE, IN 46825
(260) 222-1572
1932869765MRS. RASHIDA MUHAMMAD FNP-C
Individual
Nurse Practitioner (Family)310 E DUPONT RD
FORT WAYNE, IN 46825
(260) 452-4877
1942933015 KERA VELAZQUEZ FNP-BC
Individual
Nurse Practitioner (Family)310 E DUPONT RD
FORT WAYNE, IN 46825
(833) 762-3739

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437658572, enumerated in the NPI registry as an "organization" on February 05, 2018

The provider is located at 310 E Dupont Rd Fort Wayne, In 46825 and the phone number is (574) 377-8643

This medical organization specializes in Substance Abuse Rehabilitation Facility with taxonomy code 324500000X

The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 15D2144592 for a "other - substance use treatment" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on February 05, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.