Fair Havens Senior Living Llc

LBN: Fair Havens Senior Living Llc
Fair Havens Senior Living Llc is an health care organization with primary practice located at 1790 S Fairview Ave , Decatur IL 62521-4010. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Fair Havens Senior Living Llc can be contacted via phone (217) 429-2551, or through Langsner, Nachum via phone (708) 774-3881.

Contact Information

Primary practice address
1790 S Fairview Ave Decatur IL 62521-4010
Phone: (217) 429-2551
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Langsner, Nachum
Phone: (708) 774-3881

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1720638521
LBN Legal business name Fair Havens Senior Living Llc
DBA Doing business as
Authorized official Langsner, Nachum
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2019
Last updated Sep 13th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1720638521 NPPES
Illinois MEDICAID 84296841001

Popular Providers