Provider Demographics
NPI:1568810372
Name:CHI LIVING COMMUNITIES
Entity Type:Organization
Organization Name:CHI LIVING COMMUNITIES
Other - Org Name:BISHOP DRUMM RETIREMENT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY & COO
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:DOLYK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:567-455-0414
Mailing Address - Street 1:5837 WINWOOD DR
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:IA
Mailing Address - Zip Code:50131-1651
Mailing Address - Country:US
Mailing Address - Phone:515-270-1100
Mailing Address - Fax:515-276-1714
Practice Address - Street 1:5942 RENAISSANCE PL
Practice Address - Street 2:SUITE A
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-4716
Practice Address - Country:US
Practice Address - Phone:567-455-0414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SYLVANIA FRANCISCAN HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-06-02
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAPENDINGMedicare Oscar/Certification