Healthcare Provider Details

I. General information

NPI: 1730127192
Provider Name (Legal Business Name): FRANCISCAN COMMUNITIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2006
Last Update Date: 08/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1251 E RICHTON RD
CRETE IL
60417-1623
US

IV. Provider business mailing address

1055 175TH ST SUITE 202
HOMEWOOD IL
60430-4610
US

V. Phone/Fax

Practice location:
  • Phone: 708-672-6700
  • Fax: 708-672-4939
Mailing address:
  • Phone: 708-647-6500
  • Fax: 708-647-6982

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number510096
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number0045435
License Number StateIL

VIII. Authorized Official

Name: MR. ROBERT W ZIMMER
Title or Position: SR. VP/CHIEF FINANCIAL OFFICER
Credential:
Phone: 708-647-6500