=====================================================
General NPI Number Information
=====================================================
NPI Number | 1538117304
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ST FRANCIS HEALTHCARE SERVICES INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/04/2006
-----------------------------------------------------
Last Update Date | 07/28/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9888 BISSONNET 370
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77036
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-271-2200
-----------------------------------------------------
Fax | 713-271-2204
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9888 BISSONNET 370
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77036
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-271-2200
-----------------------------------------------------
Fax | 713-271-2204
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADM
-----------------------------------------------------
Name | MR. JOHN N IBE
-----------------------------------------------------
Credential | RN
-----------------------------------------------------
Telephone | 713-271-2200
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 008577
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------