OrganizationActive
A.i.d. Residential Services, LLC
NPI 1700248564 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Fort Wayne, IN
Provider details
- NPI number
- 1700248564
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Christina Kinnaley, Program Administrator(260) 444-3433
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10319 Dawsons Creek Blvd Ste E
Fort Wayne, IN 46825-1911
Phone: (260) 414-4713
Street-level locationGet directions
Mailing address
10319 Dawsons Creek Blvd Ste E
Fort Wayne, IN 46825-1911
Registry dates
- Enumerated
- 2016-03-22
- Last updated
- 2016-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.