Fairhaven Christian Retirement Center

LBN: Fairhaven Christian Retirement Center
Fairhaven Christian Retirement Center is an health care organization with primary practice located at 3470 N Alpine Rd , Rockford IL 61114-4802. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Fairhaven Christian Retirement Center can be contacted via phone (815) 877-1441, or through Reierson, Jeffrey R. via phone (815) 877-1441.

Contact Information

Primary practice address
3470 N Alpine Rd Rockford IL 61114-4802
Phone: (815) 877-1441
Fax: (815) 877-2040
Website:
Map and Directions
Authorized official contact:
Name: Reierson, Jeffrey R. NHA,CPA
Phone: (815) 877-1441

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 1676858 Illinois

Profile Details

NPI number 1710970926
LBN Legal business name Fairhaven Christian Retirement Center
DBA Doing business as
Authorized official Reierson, Jeffrey R. NHA,CPA
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2005
Last updated Aug 22nd, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710970926 NPPES
Illinois MEDICAID 0027987

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