Healthcare Provider Details

I. General information

NPI: 1518962018
Provider Name (Legal Business Name): FRANCISCAN COMMUNITY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2005
Last Update Date: 01/18/2013
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

203 FRANCISCAN DR
CROWN POINT IN
46307-4802
US

V. Phone/Fax

Practice location:
  • Phone: 219-661-5321
  • Fax: 219-661-5305
Mailing address:
  • Phone: 219-661-5321
  • Fax: 219-661-5305

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number07-008300-1
License Number StateIN

VIII. Authorized Official

Name: MS. CATHERINE ANN COLTUN
Title or Position: EXECUTIVE DIRECTOR
Credential: REGISTERED NURSE
Phone: 219-661-5321