Provider Demographics
NPI:1679650691
Name:MERCY FRANCISCAN SENIOR HEALTH AND HOUSING SERVICES, INC.
Entity Type:Organization
Organization Name:MERCY FRANCISCAN SENIOR HEALTH AND HOUSING SERVICES, INC.
Other - Org Name:MERCY FRANCISCAN TERRACE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BETH
Authorized Official - Middle Name:A
Authorized Official - Last Name:LUKEN
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:513-761-9036
Mailing Address - Street 1:4600 MCAULEY PL
Mailing Address - Street 2:5TH FLOOR - FINANCE
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-4733
Mailing Address - Country:US
Mailing Address - Phone:513-981-6696
Mailing Address - Fax:513-981-6117
Practice Address - Street 1:100 COMPTON RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45215-4141
Practice Address - Country:US
Practice Address - Phone:513-761-9036
Practice Address - Fax:513-761-5199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2106287Medicaid
OH1462OtherDEPT. OF HEALTH
OH365909Medicare ID - Type Unspecified