Provider Demographics
NPI:1447255948
Name:FRANCISCAN HOME CARE SERVICES INC
Entity type:Organization
Organization Name:FRANCISCAN HOME CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JOELLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:TAR
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RN
Authorized Official - Phone:219-661-5300
Mailing Address - Street 1:203 FRANCISCAN DR
Mailing Address - Street 2:
Mailing Address - City:CROWN POINT
Mailing Address - State:IN
Mailing Address - Zip Code:46307-4802
Mailing Address - Country:US
Mailing Address - Phone:219-661-5300
Mailing Address - Fax:219-661-5305
Practice Address - Street 1:203 FRANCISCAN DR
Practice Address - Street 2:
Practice Address - City:CROWN POINT
Practice Address - State:IN
Practice Address - Zip Code:46307-4802
Practice Address - Country:US
Practice Address - Phone:219-661-5300
Practice Address - Fax:219-661-5305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-20
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05-007180-1251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200008340AMedicaid
IN200008340AMedicaid