Provider Demographics
NPI:1003844788
Name:FRANCISCAN COMMUNITIES, INC.
Entity Type:Organization
Organization Name:FRANCISCAN COMMUNITIES, INC.
Other - Org Name:ST. JOSEPH VILLAGE OF CHICAGO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT AND C.E.O.
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:AMIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-331-5200
Mailing Address - Street 1:11500 THERESA DR
Mailing Address - Street 2:
Mailing Address - City:LEMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60439-2727
Mailing Address - Country:US
Mailing Address - Phone:331-318-5200
Mailing Address - Fax:331-318-5210
Practice Address - Street 1:4021 W BELMONT AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60641-4771
Practice Address - Country:US
Practice Address - Phone:773-235-8600
Practice Address - Fax:773-235-2933
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRANCISCAN SISTERS OF CHICAGO SERVICE CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-29
Last Update Date:2020-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
310400000X
IL1647183314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========003Medicaid
IL145637Medicare Oscar/Certification