Provider Demographics
NPI:1053378877
Name:MERCY FRANCISCAN SENIOR HEALTH AND HOUSING SERVICES, INC.
Entity type:Organization
Organization Name:MERCY FRANCISCAN SENIOR HEALTH AND HOUSING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:MAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-981-6338
Mailing Address - Street 1:4600 MCAULEY PLACE
Mailing Address - Street 2:5TH FLOOR/FINANCE
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-4733
Mailing Address - Country:US
Mailing Address - Phone:513-981-6696
Mailing Address - Fax:513-981-6117
Practice Address - Street 1:1302 MILLVILLE AVE
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-3961
Practice Address - Country:US
Practice Address - Phone:513-867-4100
Practice Address - Fax:513-867-1415
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MERCY FRANCISCAN SENIOR HEALTH AND HOUSING SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-04-26
Last Update Date:2012-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
313M00000X
OH1507N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2106296Medicaid
OH365277Medicare Oscar/Certification
OH36-5277Medicare ID - Type Unspecified