Provider Demographics
NPI: | 1508398231 |
---|---|
Name: | FRANKLIN HEALTHCARE, LLC |
Entity Type: | Organization |
Organization Name: | FRANKLIN HEALTHCARE, LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT/CEO |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | ALVIN |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | BACILIO |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 202-905-1601 |
Mailing Address - Street 1: | 6368 COVENTRY WAY |
Mailing Address - Street 2: | #352 |
Mailing Address - City: | CLINTON |
Mailing Address - State: | MD |
Mailing Address - Zip Code: | 20735-2256 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 202-905-1601 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 6368 COVENTRY WAY |
Practice Address - Street 2: | #352 |
Practice Address - City: | CLINTON |
Practice Address - State: | MD |
Practice Address - Zip Code: | 20735-2256 |
Practice Address - Country: | US |
Practice Address - Phone: | 202-905-1601 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2017-03-31 |
Last Update Date: | 2017-03-31 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 311Z00000X | Nursing & Custodial Care Facilities | Custodial Care Facility | |
No | 3140N1450X | Nursing & Custodial Care Facilities | Skilled Nursing Facility | Nursing Care, Pediatric |