NPIMap

Organization Active NPI

Franciscan Health Olympia Fields & Chicago Heights

Doing business as Franciscan Home Care

  • Home Health Agency
  • Chicago Heights, IL
National Provider Identifier
1508885930
Registry record updated Jun 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1001080 Issued in IL
Legal business name
FRANCISCAN HEALTH OLYMPIA FIELDS & CHICAGO HEIGHTS
Doing business as
Franciscan Home Care
Practice address
1400 Otto Blvd
Chicago Heights, IL 60411-3871
Phone
(708) 709-2030
Fax
(708) 709-2027
NPI assigned
Jul 18, 2006
Last updated
Jun 1, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
FRANCISCAN HEALTH OLYMPIA FIELDS & CHICAGO HEIGHTSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 1, 2017

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

Authorized official

Name
Mr. Francisco A. Banda
Title
Cfo
Phone
(708) 756-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1001080 IL Primary

Addresses

Primary practice location

1400 Otto Blvd
Chicago Heights, IL 60411-3871

Mailing address

1400 Otto Blvd
Chicago Heights, IL 60411-3871
Phone (708) 709-2030

Other identifiers 1

IdentifierTypeStateIssuer
9728OtherILBLUE CROSS/BLUE SHIELD

Other names 1

  • Franciscan Home Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100330000457 IL Part A Provider - Home Health Agency 9537050455 Practice locations: Olympia Fields, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508885930. Details of each certification follow.

Home health agency certification: CCN 147267

Legal name
FRANCISCAN HEALTH OLYMPIA FIELDS
Doing business as
FRANCISCAN HOME CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 24, 1984
Last certification
Jun 30, 2017
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Sep 19, 1974 in IN
Enrollment address
20000 Governors Dr
Suite 104
Olympia Fields, IL 60461-1034
HHA Branch

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Franciscan Home CareCCN 147267 · All quality measures
Overall star rating
4 of 5
Ownership
Non-Profit
Certified
May 24, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
St James Hospinternal F10 organizations share this tax ID, including this one
Part of
St James Hospinternal F

Other organizations with this tax ID 9

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ann K Magiera Individual Corporate DirectorBoard Member Franciscan Alliance Jun 1, 1994
Madonna Rougeau Individual Corporate DirectorBoard Member Franciscan Alliance Apr 26, 2004
Kenneth Herlin Individual Corporate DirectorBoard Member Franciscan Alliance Oct 7, 2013
Raymond Grady Individual Corporate OfficerCeo/President Jul 18, 2022 100%
W-2 Managing EmployeeCeo/President Jul 18, 2022 100%
Operational/Managerial ControlCeo/President Jul 18, 2022 100%
Kathleen Lissetta Gettinger Individual Corporate DirectorBoard Member Franciscan Alliance Aug 15, 2023
Marilyn Oliver Individual Corporate DirectorBoard Member Franciscan Alliance Jun 1, 1998
Kevin D Leahy Individual Corporate OfficerCeo/Board Member Franciscan Allianc Nov 11, 1996
Corporate DirectorBoard Member Franciscan Alliance Nov 11, 1996
Anna F. Hoefer Individual Corporate DirectorBoard Member Franciscan Alliance Aug 15, 2023
Kathleen Goeppinger Individual Corporate DirectorBoard Member Franciscan Alliance Oct 3, 2000
Franciscan Alliance Inc Organization, Mishawaka, IN Non-profit 5% Or Greater Direct Ownership Interest Sep 19, 1974 100%
Margaret Mary Mitchel Individual Corporate DirectorBoard Member Franciscan Alliance Aug 15, 2023
Ernest Iannotta Individual Corporate DirectorBoard Member Franciscan Alliance Jun 4, 2012
Lethia M Leveille Individual Corporate DirectorBoard Member Franciscan Alliance Apr 21, 2009
Pamela J Shultz Individual Corporate DirectorBoard Member Franciscan Alliance Jan 1, 2014
Marie Morgan Individual Corporate DirectorBoard Member Franciscan Alliance Aug 15, 2023
Catherine C Nielsen Individual Corporate DirectorBoard Member Franciscan Alliance Oct 6, 2014
Alan Gillespie Individual Corporate DirectorBoard Member Franciscan Alliance Aug 15, 2023
Hilton Hudson Individual Corporate DirectorBoard Member Franciscan Alliance Aug 15, 2023
Marlene Shapley Individual Corporate DirectorBoard Member Franciscan Alliance Dec 4, 2006

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 25

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 25

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Affiliated clinicians 42

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496275200000",
    "number": "1508885930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 OTTO BLVD",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604113871",
            "telephone_number": "708-709-2030",
            "fax_number": "708-709-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 OTTO BLVD",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604113871",
            "telephone_number": "708-709-2030",
            "fax_number": "708-709-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCAN HEALTH OLYMPIA FIELDS & CHICAGO HEIGHTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRANCISCAN HEALTH OLYMPIA FIELDS & CHICAGO HEIGHTS",
        "enumeration_date": "2006-07-18",
        "last_updated": "2017-06-01",
        "status": "A",
        "authorized_official_last_name": "BANDA",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "708-756-1000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1001080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "9728",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Franciscan Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago Heights, IL

Sources for this page

Verify at the official NPI Registry.