Provider Demographics
NPI:1205910403
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:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARCIE
Authorized Official - Middle Name:B
Authorized Official - Last Name:CALVERT
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:513-867-4104
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 1:1302 MILLVILLE AVE
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-3961
Practice Address - Country:US
Practice Address - Phone:513-867-4104
Practice Address - Fax:513-867-1415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
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
OH0985591Medicaid
OH1507OtherOHIO DEPT. OF HEALTH
OH0985591Medicaid