Healthcare Provider Details

I. General information

NPI: 1114923190
Provider Name (Legal Business Name): FRANCISCAN COMMUNITY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2005
Last Update Date: 02/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 FRANCISCAN DR
CROWN POINT IN
46307-4802
US

IV. Provider business mailing address

1225 E COOLSPRING AVE SUITE 1E
MICHIGAN CITY IN
46360-6312
US

V. Phone/Fax

Practice location:
  • Phone: 219-661-5321
  • Fax: 219-661-5320
Mailing address:
  • Phone: 219-877-2032
  • Fax: 219-877-2055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number08-005809-1
License Number StateIN

VIII. Authorized Official

Name: MS. LORI MCLAUGHLIN
Title or Position: GENERAL COUNSEL
Credential:
Phone: 708-647-6500