NPIMap

Organization Active NPI

St. Joseph Health System LLC

  • Home Health Agency
  • Fort Wayne, IN
National Provider Identifier
1104870583
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ST. JOSEPH HEALTH SYSTEM LLC
Practice address
700 Broadway
Fort Wayne, IN 46802-1402
Phone
(260) 425-3000
Fax
(260) 425-3222
NPI assigned
May 20, 2006
Organization subpart
Yes
Parent organization
ST. JOSEPH HEALTH SYSTEM LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X IN Primary

Addresses

Primary practice location

700 Broadway
Fort Wayne, IN 46802-1402

Mailing address

PO Box 11229
Fort Wayne, IN 46856-1229
Phone (260) 425-3000

Other names 1

  • St. Joseph Hospital Home Health Care Doing business as

National Provider Directory

National Provider Directory
Part of
Statcare North

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1104870583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11229",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468561229",
            "telephone_number": "260-425-3000",
            "fax_number": "260-425-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 BROADWAY",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468021402",
            "telephone_number": "260-425-3000",
            "fax_number": "260-425-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH HEALTH SYSTEM LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. JOSEPH HEALTH SYSTEM LLC",
        "enumeration_date": "2006-05-20",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "HOLTSFORD",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "DIRECTOR, BUSINESS OFFICE SERVICES",
        "authorized_official_telephone_number": "615-465-7466"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Joseph Hospital Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.