Provider Demographics
NPI:1356481196
Name:ST. FRANCIS LIFE CARE CORPORATION
Entity Type:Organization
Organization Name:ST. FRANCIS LIFE CARE CORPORATION
Other - Org Name:FRANCISCAN OAKS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF CORPORATE FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:DENNIS
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-586-6005
Mailing Address - Street 1:19 POCONO RD
Mailing Address - Street 2:
Mailing Address - City:DENVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07834-2996
Mailing Address - Country:US
Mailing Address - Phone:973-586-6054
Mailing Address - Fax:
Practice Address - Street 1:19 POCONO RD
Practice Address - Street 2:
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834-2996
Practice Address - Country:US
Practice Address - Phone:973-586-6000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ061424314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
315329Medicare Oscar/Certification