MEDICARE: FRANCISCAN COMMUNITIES

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	314000000X	Skilled Nursing Facility	100196	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508813130
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANCISCAN COMMUNITIES

Provider Business Mailing Address
First Line	:	1055 175TH ST
Second Line	:	SUITE 202
City	:	HOMEWOOD
State	:	IL
Zip	:	60430-4610
Country	:	US
Telephone Number	:	708-647-6500
Fax Number	:	708-647-6982

Provider Business Practice Location Address
First Line	:	3625 FERN VALLEY RD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40219-1916
Country	:	US
Telephone Number	:	502-964-3381
Fax Number	:	502-964-3395

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

Provider Enumeration Date	:	05/28/2006
Last Update Date	:	04/02/2009

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Directions to “FRANCISCAN COMMUNITIES ” Practice Location

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