Healthcare Provider Details

I. General information

NPI: 1093742348
Provider Name (Legal Business Name): FRANCISCAN COMMUNITIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 04/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1051 CUMBERLAND AVE
WEST LAFAYETTE BRA IN
47906-1447
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 765-463-2571
  • Fax: 765-463-9401
Mailing address:
  • Phone: 708-647-6500
  • Fax: 708-647-6982

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number05-000547-1
License Number StateIN

VIII. Authorized Official

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