Provider Demographics
NPI:1518962018
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:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:COLTUN
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:219-661-5321
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:219-661-5321
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:219-661-5321
Practice Address - Fax:219-661-5305
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRANCISCAN SISTERS OF CHICAGO SERVICE CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-06-20
Last Update Date:2013-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN07-008300-1251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN07-008300-1OtherSTATE LICENSE
IN200141550AMedicaid
IN07-008300-1OtherSTATE LICENSE
IN200141550AMedicaid