Fair Havens Christian Home, Inc. in Decatur - Skilled Nursing Facility
Fair Havens Christian Home, Inc. - NPI 1083630487
Fair Havens Christian Home, Inc. is a Skilled Nursing Facility in Decatur, Illinois. Fair Havens Christian Home, Inc. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Fair Havens Christian Home, Inc. is 1083630487. The last update date is 2013-12-11.
Fair Havens Christian Home, Inc.'s current location address is 1790 S Fairview Ave, Decatur, Illinois. You can contact this provider via phone number 2174292551 and fax number 2174292942. The mailing address for Fair Havens Christian Home, Inc. is 1790 S Fairview Ave, Decatur, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fair Havens Christian Home, Inc. |
|---|---|
| Address | 1790 S Fairview Ave, Decatur, Illinois |
| Phone Number | 2174292551 |
| Fax Number | 2174292942 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF FINA |
|---|---|
| Authorized Official Name | Mcghee Susan |
| Telephone Number | 3145877903 |
NPI Number Detail
| NPI Number | 1083630487 |
|---|---|
| Provider Enumeration Date | 2006-07-15 |
| Last Updated Date | 2013-12-11 |
Provider Mailing Address Detail
| Address | 1790 S Fairview Ave |
|---|---|
| City | Decatur |
| State | Illinois (IL) |
| Post Code | 625214010 |
| Phone Number | 2174292551 |
| Fax Number | 2174292942 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 18143 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 50152 | IL | BC/BS PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Fair Havens Christian Home, Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The Fair Havens Christian Home, Inc. has been assigned the NPI (National Provider Identifier) 1083630487. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Fair Havens Christian Home, Inc. is located?
The Fair Havens Christian Home, Inc. is situated at the following address: 1790 S Fairview Ave, Decatur, IL, 625214010.
What is Fair Havens Christian Home, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Fair Havens Christian Home, Inc. is Skilled Nursing Facility, and the taxonomy code that categorizes this field of expertise is 314000000X.
When did Fair Havens Christian Home, Inc. receive its 1083630487 assignment?
The Fair Havens Christian Home, Inc. was assigned its 1083630487 on 2006-07-15, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Fair Havens Christian Home, Inc. most recently updated or revised?
The information pertaining to Fair Havens Christian Home, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2013-12-11.
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