Provider Demographics
NPI:1114923190
Name:FRANCISCAN COMMUNITY SERVICES, INC.
Entity Type:Organization
Organization Name:FRANCISCAN COMMUNITY SERVICES, INC.
Other - Org Name:ST. ANTHONY HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL COUNSEL
Authorized Official - Prefix:MS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLAUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-647-6500
Mailing Address - Street 1:1225 E COOLSPRING AVE
Mailing Address - Street 2:SUITE 1E
Mailing Address - City:MICHIGAN CITY
Mailing Address - State:IN
Mailing Address - Zip Code:46360-6312
Mailing Address - Country:US
Mailing Address - Phone:219-877-2032
Mailing Address - Fax:219-877-2055
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:219-661-5321
Practice Address - Fax:219-661-5320
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRANCISCAN SISTERS OF CHICAGO SERVICE CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-06-23
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08-005809-1251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200141750AMedicaid
IN08-005809-1OtherSTATE OF INDIANA
IN08-005809-1OtherSTATE OF INDIANA