Healthcare Provider Details

I. General information

NPI: 1245846716
Provider Name (Legal Business Name): FRANCISCAN COMMUNITIES INC. II
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2020
Last Update Date: 09/21/2020
Certification Date: 09/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11500 THERESA DR
LEMONT IL
60439-2727
US

IV. Provider business mailing address

11500 THERESA DR
LEMONT IL
60439-2727
US

V. Phone/Fax

Practice location:
  • Phone: 440-843-7800
  • Fax: 440-843-7107
Mailing address:
  • Phone: 318-331-5200
  • Fax: 331-318-5210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License Number
License Number State

VIII. Authorized Official

Name: MRS. JUDY AMIANO
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 331-318-5200