Harbor Crest Home Inc in Fulton - Nursing Facility/intermediate Care Facility
Harbor Crest Home Inc - NPI 1083602031
Harbor Crest Home Inc is a Nursing Facility/intermediate Care Facility in Fulton, Illinois. Harbor Crest Home Inc practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for Harbor Crest Home Inc is 1083602031. The last update date is 2012-10-23.
Harbor Crest Home Inc's current location address is 817 17th St, Fulton, Illinois. You can contact this provider via phone number 8155893411 and fax number 8155894728. The mailing address for Harbor Crest Home Inc is 817 17th St, Fulton, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Harbor Crest Home Inc |
|---|---|
| Address | 817 17th St, Fulton, Illinois |
| Phone Number | 8155893411 |
| Fax Number | 8155894728 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Chattic A Myra |
| Credentials | LNHA |
| Telephone Number | 8155893411 |
NPI Number Detail
| NPI Number | 1083602031 |
|---|---|
| Provider Enumeration Date | 2005-10-12 |
| Last Updated Date | 2012-10-23 |
Provider Mailing Address Detail
| Address | 817 17th St |
|---|---|
| City | Fulton |
| State | Illinois (IL) |
| Post Code | 612521020 |
| Phone Number | 8155893411 |
| Fax Number | 8155894728 |
Provider's Primary Taxonomy Detail
| Speciality | Nursing Facility/intermediate Care Facility |
|---|---|
| Taxonomy | 313M00000X |
| Licence No | 9530 |
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Definition: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the reha |
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What is the unique 10-digit identifier code assigned to Harbor Crest Home Inc by the Centers for Medicare & Medicaid Services?
The Harbor Crest Home Inc has been issued the NPI (National Provider Identifier) 1083602031 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Harbor Crest Home Inc located?
The Harbor Crest Home Inc is located at 817 17Th St, Fulton, IL 612521020.
What is Harbor Crest Home Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Harbor Crest Home Inc is Nursing Facility/intermediate Care Facility, and the taxonomy code that classifies this field of practice is 313M00000X.
When did Harbor Crest Home Inc receive its 1083602031 assignment?
The Harbor Crest Home Inc was assigned its 1083602031 on 2005-10-12, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Harbor Crest Home Inc most recently updated or revised?
The information pertaining to Harbor Crest Home Inc, including its address, specialty, and other relevant details, was last updated or revised on 2012-10-23.