Provider Demographics
NPI:1225066970
Name:FRANCISCAN COMMUNITIES, INC.
Entity Type:Organization
Organization Name:FRANCISCAN COMMUNITIES, INC.
Other - Org Name:MOUNT ALVERNA VILLAGE
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:708-647-6500
Mailing Address - Street 1:1055 175TH ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:HOMEWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60430-4610
Mailing Address - Country:US
Mailing Address - Phone:708-647-6500
Mailing Address - Fax:708-647-6982
Practice Address - Street 1:6765 STATE RD
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44134-4581
Practice Address - Country:US
Practice Address - Phone:440-843-7800
Practice Address - Fax:440-843-7107
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRANCISCAN SISTERS OF CHICAGO SERVICE CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-30
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0902R314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH26-02044Medicaid
366071Medicare Oscar/Certification
OH0647050005Medicare NSC