Organization · Type 2 NPI

St. Joseph Health System LLC

Home Health Agency · Fort Wayne, IN

NPI number 1104870583 Active

Practice location

700 Broadway
Fort Wayne, IN 46802-1402

Call (260) 425-3000 Map

Fax (260) 425-3222

Mailing address

PO Box 11229
Fort Wayne, IN 46856-1229

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	None listed

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

15 other providers at this address

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NPI record

NPI: 1104870583
Entity type: Organization (Type 2)
Issued: May 20, 2006
Last updated: Nov 6, 2007
Status: Active
Subpart: Yes of St. Joseph Health System LLC

Other names

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St. Joseph Hospital Home Health Care · doing business as

Authorized official

Laurie Holtsford
Director, Business Office Services
(615) 465-7466

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104870583

St. Joseph Health System LLC's National Provider Identifier is 1104870583, issued on May 20, 2006. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Nov 6, 2007.