# ST JOSEPH HEALTH SYSTEM LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ST JOSEPH HEALTH SYSTEM LLC
- **Other names:** Transitional Care Unit of St Joseph
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1740234111
- **Legal business name:** ST JOSEPH HEALTH SYSTEM LLC
- **Authorized official:** PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL)
- **Authorized official phone:** (629) 215-3953

## Contact information

- **Practice address:** 700 BROADWAY, FORT WAYNE, IN 46802-1402
- **Practice address phone:** (260) 425-3000
- **Practice address fax:** (260) 425-3222
- **Mailing address:** 15819 COLLECTION CENTER DR, CHICAGO, IL 60693-0158
- **Mailing address phone:** (260) 425-3000
- **Mailing address fax:** (260) 425-3222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 05-005043-1 | IN | Yes |

## Other

- **Enumeration date:** 05/20/2006
- **Last updated:** 04/29/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100268500B | — | IN |