ST JOSEPH HEALTH SYSTEM LLC (NPI# 1740234111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740234111 |
| Entity Type | Organization |
| Organization Name | ST JOSEPH HEALTH SYSTEM LLC |
| Other Organization Name | TRANSITIONAL CARE UNIT OF ST JOSEPH |
| Practice Address |
700 Broadway Fort Wayne IN 46802-1402 |
| Mailing Address |
15819 Collection Center Dr Chicago IL 60693-0158 |
| Practice Telephone | 2604253000 |
| Practice Fax Number | 2604253222 |
| Mailing Telephone | 2604253000 |
| Mailing Fax Number | 2604253222 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2017-08-16 |
| Authorized Official Name | PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Telephone | 6159254565 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST JOSEPH HEALTH SYSTEM LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 05-005043-1 | IN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100268500B | 05 |
| Other Name | Type Code |
|---|---|
| Transitional Care Unit of St Joseph | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033163407 | St Joseph Health System LLC | Rehabilitation Unit | 700 Broadway, Fort Wayne, IN 46802-1402 | 2006-05-20 |
| 1578517231 | St Joseph Health System LLC | Psychiatric Unit | 700 Broadway, Fort Wayne, IN 46802-1402 | 2006-05-19 |
| Street Address |
700 BROADWAY |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46802-1402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104825140 | Select Specialty Hospital - Fort Wayne Inc | Long Term Care Hospital | 700 Broadway, 7th Fl East, Fort Wayne, IN 46802-1402 | 2005-07-20 |
| 1598395238 | Werner R Wolff | Nurse Practitioner | 700 Broadway, Fort Wayne, IN 46802-1402 | 2020-01-22 |
| 1477114312 | Mandy Onguta | Nurse Practitioner | 700 Broadway, Fort Wayne, IN 46802-1402 | 2019-06-21 |
| 1609386416 | Kelly Marie Snyder | Occupational Therapy Assistant | 700 Broadway, Fort Wayne, IN 46802-1402 | 2017-10-06 |
| 1851759922 | Faysal Massarweh | Internal Medicine | 700 Broadway, Fort Wayne, IN 46802-1402 | 2016-02-04 |
| 1689041451 | Christine Montanaro | Registered Nurse | 700 Broadway, Fort Wayne, IN 46802-1402 | 2015-08-28 |
| 1265825178 | Mary Bullis | Nurse Practitioner | 700 Broadway, Fort Wayne, IN 46802-1402 | 2015-03-17 |
| 1366883068 | Niroshan Kirupananthan | Internal Medicine | 700 Broadway, Fort Wayne, IN 46802-1402 | 2013-07-10 |
| 1548552375 | Musa Abdalla | Family Medicine | 700 Broadway, Fort Wayne, IN 46802-1402 | 2011-05-12 |
| 1366754616 | Darnell J Brown | Surgery | 700 Broadway, Fort Wayne, IN 46802-1402 | 2010-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568084416 | Renaissance Counseling Center,llc | Community/Behavioral Health | 1210 Guthrie St, Fort Wayne, IN 46802 | 2020-05-14 |
| 1699260182 | Tina Huffman Counseling Services LLC | Clinic/Center | 2323 111 W. Berry St., Fort Wayne, IN 46802 | 2018-06-27 |
| 1669879664 | Neighborhood Health Clinics, Inc | Clinic/Center | 1721 S Calhoun St, Fort Wayne, IN 46802 | 2014-11-20 |
| 1205272168 | Tyler Jerome Kimmel | Dentist | 1717 S. Calhoun Street, Fort Wayne, IN 46802 | 2013-05-20 |
| 1174899405 | Hearcare Connection, Inc. | Audiologist | 130 W Main St Ste 150, Fort Wayne, IN 46802 | 2012-03-30 |
| 1801114533 | Hoosier Sports & Chiropractic LLC | Chiropractor | 122 W Wayne Street, Fort Wayne, IN 46802 | 2010-05-05 |
| 1891912523 | Krista Lohmar | Speech-Language Pathologist | 3340 North Washington Road, Ft. Wayne, IL 46802 | 2007-04-20 |
| 1811047608 | Catholic Charities of The Diocese of Fort Wayne-south Bend, Inc. | Counselor | 915 South Clinton, Fort Wayne, IN 46802 | 2007-01-12 |
| 1548323801 | Clifford T Salk | Dentist | 122 W Washington Blvd, Fort Wayne, IN 46802 | 2006-12-18 |
| 1720155492 | Kristina Wise | Social Worker | 203 W Wayne St Ste 317, Fort Wayne, IN 46802 | 2006-11-29 |
| Find all providers in zip 46802 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023487592 | Lindsey Marie Fuller | Skilled Nursing Facility | 10603 Wild Flower Pl, Fort Wayne, IN 46845-1687 | 2015-09-15 |
| 1336548353 | Pulaski Memorial Hospital | Skilled Nursing Facility | 6050 S Cr 800 E-92, Fort Wayne, IN 46814-9201 | 2014-08-14 |
| 1154766459 | Major Hospital | Skilled Nursing Facility | 10445 Dupont Oaks Blvd, Fort Wayne, IN 46845-8792 | 2013-05-01 |
| 1326310400 | Riverview Hospital | Skilled Nursing Facility | 4111 Park Place Drive, Fort Wayne, IN 46845-8793 | 2012-02-03 |
| 1710280888 | Kelly Michelle Wood | Skilled Nursing Facility | 8528 Killeen Run, Fort Wayne, IN 46835-9657 | 2010-12-13 |
| 1194940205 | Recovery Health Services, Inc | Skilled Nursing Facility | 12101 Lima Rd, Fort Wayne, IN 46818-8903 | 2007-04-16 |
| 1871623041 | Henry County Memorial Hospital | Skilled Nursing Facility | 1400 Medical Park Dr, Fort Wayne, IN 46825-5832 | 2007-03-06 |
| 1740315878 | Henry County Memorial Hospital | Skilled Nursing Facility | 5700 Wilkie Dr, Fort Wayne, IN 46804-1662 | 2007-02-22 |
| 1326180803 | Woodlawn Hospital | Skilled Nursing Facility | 3136 Goeglein Rd, Fort Wayne, IN 46815-6685 | 2007-02-13 |
| 1528130432 | Indiana Health & Rehabilitation Center | Skilled Nursing Facility | 3811 Parnell Ave, Fort Wayne, IN 46805-1409 | 2006-11-15 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46802 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.