Fair Oaks Health Care Center

LBN: Wisconsin Illinois Senior Housing Inc.
Fair Oaks Health Care Center is an health care organization with primary practice located at 471 W Terra Cotta Ave , Crystal Lake IL 60014-3434. 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. Wisconsin Illinois Senior Housing Inc. can be contacted via phone (815) 455-0550, or through Sherman, Stephanie L. via phone (303) 980-0611.

Contact Information

Primary practice address
471 W Terra Cotta Ave Crystal Lake IL 60014-3434
Phone: (815) 455-0550
Fax: (815) 356-3846
Website:
Map and Directions
Authorized official contact:
Name: Sherman, Stephanie L.
Phone: (303) 980-0611

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0040915 Illinois

Profile Details

NPI number 1780673954
LBN Legal business name Wisconsin Illinois Senior Housing Inc.
DBA Doing business as Fair Oaks Health Care Center
Authorized official Sherman, Stephanie L.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2005
Last updated May 13th, 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 1780673954 NPPES
Illinois MEDICAID 6002976

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