MEDICARE: FAITH COMMUNITY HEALTH SERVICES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	313M00000X	Nursing Facility/Intermediate Care Facility

General Provider Information

NPI Number	:	1134405392
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAITH COMMUNITY HEALTH SERVICES, INC

Provider Business Mailing Address
First Line	:	4449 177TH ST
Second Line	:
City	:	COUNTRY CLUB HILLS
State	:	IL
Zip	:	60478-4705
Country	:	US
Telephone Number	:	708-957-7815
Fax Number	:

Provider Business Practice Location Address
First Line	:	4449 177TH ST
Second Line	:
City	:	COUNTRY CLUB HILLS
State	:	IL
Zip	:	60478-4705
Country	:	US
Telephone Number	:	708-957-7815
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. SHIRLEY BROCKINGTON
Credential	:	RN
Telephone Number	:	708-957-7815

Provider Enumeration Date	:	11/01/2011
Last Update Date	:	11/01/2011

Similar Medicare Providers

1598393530 — ADRIANA DE LEON LOERA
Practice Location Address:

1101 COUNTRY PLACE DR
HOUSTON, TX
77079-4705

Practice Phone: 713-443-8906
Practice Fax:

1225044514 — THRIFTY PAYLESS INC
Practice Location Address:

300 NORTH CANON DRIVE
BEVERLY HILLS, CA
90210-4705

Practice Phone: 310-273-3561
Practice Fax:

1962722603 — DR. MANDEL M. MILLER PHARM.D.
Practice Location Address:

300 N CANON DR
BEVERLY HILLS, CA
90210-4705

Practice Phone: 310-273-3561
Practice Fax:

1174843569 — MRS. DIANA MIRAZIC RPH
Practice Location Address:

300 N CANON DR
BEVERLY HILLS, CA
90210-4705

Practice Phone: 310-273-3561
Practice Fax: 310-273-6725

1972823102 — MRS. CLAIRE ELIAS
Practice Location Address:

300 N CANON DR
BEVERLY HILLS, CA
90210-4705

Practice Phone: 310-273-3561
Practice Fax:

1609197714 — MRS. GUITY KOHAN-ZAKAY RPH
Practice Location Address:

300 N CANON DR
BEVERLY HILLS, CA
90210-4705

Practice Phone: 310-205-2837
Practice Fax:

Directions to “FAITH COMMUNITY HEALTH SERVICES, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.