Provider Demographics
NPI:1952876328
Name:CHI LIVING COMMUNITIES
Entity Type:Organization
Organization Name:CHI LIVING COMMUNITIES
Other - Org Name:CHI SACRED HEART HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
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 1:5942 RENAISSANCE PL STE A
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-4716
Mailing Address - Country:US
Mailing Address - Phone:567-455-0414
Mailing Address - Fax:
Practice Address - Street 1:930 S WYNN RD
Practice Address - Street 2:
Practice Address - City:OREGON
Practice Address - State:OH
Practice Address - Zip Code:43616-3530
Practice Address - Country:US
Practice Address - Phone:419-698-4331
Practice Address - Fax:419-697-3027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-11
Last Update Date:2019-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility