Provider Demographics
NPI:1407851645
Name:FRANCISCAN ELDERCARE CORP
Entity Type:Organization
Organization Name:FRANCISCAN ELDERCARE CORP
Other - Org Name:FRANCISCAN HEALTHCARE CENTER AT BRACKENVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF FINANCIAL OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:DALE
Authorized Official - Middle Name:
Authorized Official - Last Name:SZAFRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-421-4665
Mailing Address - Street 1:100 SAINT CLAIRE DRIVE
Mailing Address - Street 2:
Mailing Address - City:HOCKESSIN
Mailing Address - State:DE
Mailing Address - Zip Code:19707-8906
Mailing Address - Country:US
Mailing Address - Phone:302-234-5420
Mailing Address - Fax:302-234-5424
Practice Address - Street 1:100 SAINT CLAIRE DRIVE
Practice Address - Street 2:
Practice Address - City:HOCKESSIN
Practice Address - State:DE
Practice Address - Zip Code:19707-8906
Practice Address - Country:US
Practice Address - Phone:302-234-5420
Practice Address - Fax:302-234-5424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-15
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE1118314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000462212Medicaid
DE154169OtherBLUE CROSS OF DE
085042Medicare ID - Type UnspecifiedMEDICARE