NPIMap

Organization Active NPI

Franciscan Communities, Inc.

Doing business as George Davis Manor

  • Nursing Facility/Intermediate Care Facility
  • West Lafayette Bra, IN
National Provider Identifier
1093742348
Registry record updated Apr 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
05-000547-1 Issued in IN
Legal business name
FRANCISCAN COMMUNITIES, INC.
Doing business as
George Davis Manor
Practice address
1051 Cumberland Ave
West Lafayette Bra, IN 47906-1447
Phone
(765) 463-2571
Fax
(765) 463-9401
NPI assigned
Jun 26, 2006
Last updated
Apr 2, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
FRANCISCAN SISTERS OF CHICAGO SERVICE CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 2, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Robert W Zimmer
Title
Sr. VP/Chief Financial Officer
Phone
(708) 647-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 05-000547-1 IN Primary

Addresses

Primary practice location

1051 Cumberland Ave
West Lafayette Bra, IN 47906-1447

Mailing address

1055 175TH St
Suite 202
Homewood, IL 60430-4610
Phone (708) 647-6500

Other identifiers 1

IdentifierTypeStateIssuer
100267440MedicaidIN

Other names 1

  • George Davis Manor Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Franciscan Communities7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1055 175th St
Ste 202
Homewood, IL 60430

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238630400000",
    "number": "1093742348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 175TH ST",
            "address_2": "SUITE 202",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604304610",
            "telephone_number": "708-647-6500",
            "fax_number": "708-647-6982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 CUMBERLAND AVE",
            "city": "WEST LAFAYETTE BRA",
            "state": "IN",
            "postal_code": "479061447",
            "telephone_number": "765-463-2571",
            "fax_number": "765-463-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCAN COMMUNITIES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRANCISCAN SISTERS OF CHICAGO SERVICE CORPORATION",
        "enumeration_date": "2006-06-26",
        "last_updated": "2009-04-02",
        "status": "A",
        "authorized_official_last_name": "ZIMMER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "SR. VP/CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "708-647-6500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IN",
            "license": "05-000547-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100267440",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "George Davis Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Lafayette Bra, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.