Organization · Type 2 NPI

Ev FW Limited Partnership

Assisted Living Facility · Fort Wayne, IN

NPI number 1194358119 Active

Practice location

12523 Auburn Rd
Fort Wayne, IN 46845-8797

Call (260) 637-2830 Map

Fax (260) 367-9393

Mailing address

200 E Court St Ste 400
Kankakee, IL 60901-3848

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	None listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

3 other providers at this address

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NPI record

NPI: 1194358119
Entity type: Organization (Type 2)
Issued: Feb 18, 2020
Last updated: Sep 24, 2026
Status: Active

Other names

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Evergreen Village at Fort Wayne · doing business as
Evergreen Village at Fort Wayne · doing business as

Authorized official

Greg Echols
Co-CEO of Management Company
(815) 935-1992

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1194358119

Ev FW Limited Partnership's National Provider Identifier is 1194358119, issued on Feb 18, 2020. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Fort Wayne, IN. The record was last updated on Sep 24, 2026.