MEDICARE: FRANCISCAN HOME CARE SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	05-007180-1	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447255948
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANCISCAN HOME CARE SERVICES INC

Provider Business Mailing Address
First Line	:	203 FRANCISCAN DR
Second Line	:
City	:	CROWN POINT
State	:	IN
Zip	:	46307-4802
Country	:	US
Telephone Number	:	219-661-5300
Fax Number	:	219-661-5305

Provider Business Practice Location Address
First Line	:	203 FRANCISCAN DR
Second Line	:
City	:	CROWN POINT
State	:	IN
Zip	:	46307-4802
Country	:	US
Telephone Number	:	219-661-5300
Fax Number	:	219-661-5305

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. JOELLYN TAR
Credential	:	BSN, RN
Telephone Number	:	219-661-5300

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	02/08/2017

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