Healthcare Provider Details

I. General information

NPI: 1205874658
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

555 MCHENRY RD
WHEELING IL
60090-3856
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 847-537-2900
  • Fax: 847-215-5805
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 Number1577674
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number0045443
License Number StateIL

VIII. Authorized Official

Name: MS. JUDY AMIANO
Title or Position: PRESIDENT & CEO
Credential:
Phone: 708-647-6500