Organization · Type 2 NPI

The Arc of Northeast Indiana, Inc

Intellectual Disabilities Intermediate Care Facility · Fort Wayne, IN

NPI number 1336202167 Active

Practice location

4422 Lake Avenue
Fort Wayne, IN 46815-7224

Call (260) 456-4534 Map

Fax (260) 745-5200

Mailing address

4919 Coldwater Rd.
Fort Wayne, IN 46825-5532

Specialties and licenses

Taxonomy	Code	License
Intellectual Disabilities Intermediate Care Facility Primary	315P00000X	2602I0003JN08 (IN)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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NPI record

NPI: 1336202167
Entity type: Organization (Type 2)
Issued: Dec 19, 2006
Last updated: Aug 4, 2026
Status: Active

Other names

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Easter Seals Arc of Northeast Indiana · doing business as
Easterseals Arc of Northeast Indiana, Inc · doing business as

Authorized official

Ms. Donna Kristeen Elbrecht
CEO/president
(260) 456-4534

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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 1336202167

The Arc of Northeast Indiana, Inc's National Provider Identifier is 1336202167, issued on Dec 19, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Aug 4, 2026.