Fair Havens Christian Home, INC.
Skilled Nursing Facility in Decatur, IL. Organization (NPI-2).
Details
- NPI
- 1083630487
- Entity type
- Organization (NPI-2)
- Legal business name
- Fair Havens Christian Home, INC.
- Organization subpart
- No
- Enumeration date
- Jul 15, 2006
- Last updated
- Dec 11, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 0018143 | IL | Yes |
Practice location
1790 S Fairview AveDecatur, IL 62521-4010
Phone 217-429-2551 · Fax 217-429-2942
Mailing address
1790 S Fairview AveDecatur, IL 62521-4010
Phone 217-429-2551 · Fax 217-429-2942
Authorized official
Susan McGhee
Chief Financial Officer
3145877903
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 19 Skilled Nursing Facility providers in Decatur · All 1,941 providers in Decatur
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