NPIMap

Organization Active NPI

St Joseph Health System LLC

Doing business as Transitional Care Unit of St Joseph

  • Skilled Nursing Facility
  • Fort Wayne, IN
National Provider Identifier
1740234111
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
05-005043-1 Issued in IN
Legal business name
ST JOSEPH HEALTH SYSTEM LLC
Doing business as
Transitional Care Unit of St Joseph
Practice address
700 Broadway
Fort Wayne, IN 46802-1402
Phone
(260) 425-3000
Fax
(260) 425-3222
NPI assigned
May 20, 2006
Last updated
Apr 29, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
ST JOSEPH HEALTH SYSTEM LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Authorized official

Name
Paula M Lalor
Title
Director/Delegated Official
Phone
(629) 215-3953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 05-005043-1 IN Primary

Addresses

Primary practice location

700 Broadway
Fort Wayne, IN 46802-1402

Mailing address

15819 Collection Center Dr
Chicago, IL 60693-0158
Phone (260) 425-3000

Other identifiers 1

IdentifierTypeStateIssuer
100268500BMedicaidIN

Other names 1

  • Transitional Care Unit of St Joseph Doing business as

National Provider Directory

National Provider Directory
Part of
Statcare Southwest

Member of 2

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

Locations

15819 Collection Ctr Dr
Chicago, IL 60693

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": "1619654400000",
    "number": "1740234111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15819 COLLECTION CENTER DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606930158",
            "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": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR/DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "629-215-3953"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "05-005043-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100268500B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Transitional Care Unit of St Joseph",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Transitional Care Unit of St Joseph",
            "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 Apr 29, 2021; 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.