Healthcare Provider Details

I. General information

NPI: 1194764563
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: 04/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 CASON ST
LAFAYETTE IN
47904-2613
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 765-447-4102
  • Fax: 765-447-7386
Mailing address:
  • Phone: 708-647-6500
  • Fax: 708-647-6982

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number06-000037-1
License Number StateIN

VIII. Authorized Official

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