Provider Demographics
NPI:1114314606
Name:FRANCISCAN SENIOR HEALTH AND WELLNESS
Entity Type:Organization
Organization Name:FRANCISCAN SENIOR HEALTH AND WELLNESS
Other - Org Name:FRANCISCAN ACO, INC
Other - Org Type:Other Name
Authorized Official - Title/Position:VP REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:BRAD
Authorized Official - Middle Name:
Authorized Official - Last Name:JOUBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-554-4321
Mailing Address - Street 1:8325 E SOUTHPORT RD STE 120
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46259-6834
Mailing Address - Country:US
Mailing Address - Phone:317-528-7223
Mailing Address - Fax:
Practice Address - Street 1:8325 E SOUTHPORT RD STE 120
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46259-6834
Practice Address - Country:US
Practice Address - Phone:317-528-7223
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-22
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization