Provider Demographics
NPI:1851385363
Name:FRANCISCAN SISTERS OF OUR LADY OF PERPETUAL HELP
Entity Type:Organization
Organization Name:FRANCISCAN SISTERS OF OUR LADY OF PERPETUAL HELP
Other - Org Name:ST FRANCIS HEALTH CARE CENTRE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:C
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-639-2626
Mailing Address - Street 1:401 N BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:GREEN SPRINGS
Mailing Address - State:OH
Mailing Address - Zip Code:44836-9653
Mailing Address - Country:US
Mailing Address - Phone:419-639-2626
Mailing Address - Fax:419-639-6241
Practice Address - Street 1:401 N BROADWAY ST
Practice Address - Street 2:
Practice Address - City:GREEN SPRINGS
Practice Address - State:OH
Practice Address - Zip Code:44836-9653
Practice Address - Country:US
Practice Address - Phone:419-639-2626
Practice Address - Fax:419-639-6241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-12
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4814313M00000X, 314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9064042Medicaid
365101Medicare Oscar/Certification