Provider Demographics
NPI:1366456121
Name:FRANCISCAN COMMUNITIES, INC.
Entity Type:Organization
Organization Name:FRANCISCAN COMMUNITIES, INC.
Other - Org Name:VICTORY LAKES CONTINUING CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MS
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 E GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:LINDENHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60046-9007
Mailing Address - Country:US
Mailing Address - Phone:847-356-5900
Mailing Address - Fax:847-356-4699
Practice Address - Street 1:1055 E GRAND AVE
Practice Address - Street 2:
Practice Address - City:LINDENHURST
Practice Address - State:IL
Practice Address - Zip Code:60046-9007
Practice Address - Country:US
Practice Address - Phone:847-356-5900
Practice Address - Fax:847-356-4699
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRANCISCAN SISTERS OF CHICAGO SERVICE CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-28
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0048256314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========007Medicaid
IL=========007Medicaid