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FRANCISCAN SENIOR HEALTH AND WELLNESS DYER NPI 1376998104


NPI Information

NPI: 1376998104
Provider Name: FRANCISCAN SENIOR HEALTH AND WELLNESS DYER
Classification: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization - 251T00000X
Entity Type: Organization

CLIA Number: 15D2098780

Address:
2150 GETTLER ST STE 305
DYER, IN
ZIP 46311
Phone: (219) 864-2630
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FRANCISCAN SENIOR HEALTH AND WELLNESS DYER is a program of all inclusive care for the elderly pace provider organization in Dyer, IN. The provider is a PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. FRANCISCAN SENIOR HEALTH AND WELLNESS DYER NPI is 1376998104. The provider is registered as an organization entity type.

The provider's business location address is:

2150 GETTLER ST STE 305
DYER, IN
ZIP 46311-380
Phone: (219) 864-2630
Fax: (219) 864-2637

The provider's authorized official is Susan Waschevski .
The authorized official title is Director and has the following contact phone number (317) 782-8012.

The CLIA number assigned to this NPI record is 15D2098780 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 4/29/2016 and was last updated on 4/29/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251T00000XProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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