Active NPI
Franciscan St. Elizabeth Health
- Home Health Agency
- Lafayette, IN
National Provider Identifier
1144301110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 060050961
- Legal business name
- FRANCISCAN ST. ELIZABETH HEALTH
- Practice address
- 1415 Salem St
Suite 202W
Lafayette, IN 47904-4100 - Phone
- (765) 449-5046
- NPI assigned
- Oct 18, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mr. Terrance E Wilson
- Title
- Chief Executive Officer
- Phone
- (765) 502-4000
National Provider Directory
National Provider Directory- Tax ID family
- Greater Lafayette Health Services
Corporate family (same tax ID) 23
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Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 060050961 | IN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1415 Salem St
Suite 202W
Lafayette, IN 47904-4100
Mailing address
1415 Salem St
Suite 202W
Lafayette, IN 47904-4100
Phone (765) 449-5046
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100263950A | Medicaid | IN |
Other names 1
NPPES NPI Registry- St. Elizabeth Home Health Care
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 27, 2013.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364342400000",
"number": "1144301110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 SALEM ST",
"address_2": "SUITE 202W",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479044100",
"telephone_number": "765-449-5046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 SALEM ST",
"address_2": "SUITE 202W",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479044100",
"telephone_number": "765-449-5046"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRANCISCAN ST. ELIZABETH HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-18",
"last_updated": "2013-03-27",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "TERRANCE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "765-502-4000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IN",
"license": "060050961",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100263950A",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "St. Elizabeth Home Health Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.