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REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME , NPI 1124020474

Skilled Nursing Facility in SOUTH HOLLAND, IL

Last Updated on : Apr 14,2009

REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME , NPI 1124020474

About REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME (NPI 1124020474)


REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME is a Skilled Nursing Facility in SOUTH HOLLAND, United States .

1124020474 is NPI number of REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME.

REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME's primary taxonomy code based on NPI Lookup is 314000000X with license number 0023242. This taxonomy code refers to Skilled Nursing Facility.

REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME current practice location address is 16300 WAUSAU AVE, SOUTH HOLLAND, IL. REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME can be reached out via phone at 708-596-5500 and via fax at 708-596-5527 .

You can also correspond with REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME through mail at mailing address 16300 WAUSAU AVE, SOUTH HOLLAND, IL, United States. Mailing address contact number is 708-596-5500.

The enumeration date of REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME is 01-Jun-2005. The provider is registered as an Organization and the NPI record was last updated 14 years ago.

The authorized official of REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME is Joan McCarthy (VP Operational Systems). Joan McCarthy can be reached at 7083428179.

1124020474 NPI Information

Basic NPI information of REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME (NPI 1124020474) is provided below.

Name REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME
National Provider Id (NPI) 1124020474
Entity Type Organization
Practice Address 16300 WAUSAU AVE,
SOUTH HOLLAND, IL, United States
Practice Telephone 708-596-5500
Practice Fax Number 708-596-5527
Mailing Address 16300 WAUSAU AVE ,
SOUTH HOLLAND, IL, United States
Mailing Telephone 708-596-5500
Mailing Fax Number 708-596-5527
Enumeration Date 01-Jun-2005
Last Updated Date 14-Apr-2009

REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME (NPI 1124020474) Primary Taxonomy Information

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.

Primary Taxonomy Code Clasification License Number License State
Y 314000000X Skilled Nursing Facility 0023242 IL

(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 services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type/Code Identifier State Identifier Issuer
0594500001 MEDICARE NSC (07) IL
145671 MEDICARE ID-Type Unspecified (04) IL

REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME (NPI 1124020474) Office Location

Office location of REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME is provided in the Google maps below.

Providers in same location

Here are a few of the other providers in the same location.

NPI Name Taxonomy Address Enumeration date
1568529600 RIVERSIDE HOME MEDICAL SUPPLY Durable Medical Equipment & Medical Supplies 2906 RUBIDOUX BLVD STE A,
RIVERSIDE, CA, United States
01-Jan-2007
1053596635 JODI HOFSTRA Occupational Therapy Assistant 16639 HOLLAND AVE,
SOUTH HOLLAND, IL, United States
02-Jan-2008
1013064328 BYRON WALLER Counselor 25140 SPRING ST,
MANHATTAN, IL, United States
05-Jan-2007
1255577748 PROFICIENT HOME MEDICAL EQUIPMENT, INC Durable Medical Equipment & Medical Supplies 521 W TAFT DR,
SOUTH HOLLAND, IL, United States
05-Jan-2009
1174671333 BRIAN C. WITTMAYER Podiatrist 401 E. 162ND ST, SUITE 101
SOUTH HOLLAND, IL, United States
06-Jan-2007
1952389900 BRUCE DAVID HORTON Preventive Medicine, Occupational Medicine 16246 PRINCE DR,
SOUTH HOLLAND, IL, United States
09-Jan-2006
1558349514 C. MATTHEW CHELICH Family Medicine 16240 PRINCE DR,
SOUTH HOLLAND, IL, United States
09-Jan-2006
1740339522 JOHN R. LAZZAROTTO Dentist, General Practice 900 E 162ND ST,
SOUTH HOLLAND, IL, United States
09-Jan-2007
1649638685 SOUTH PARK PEDIATRICS, INC Clinic/Center, Medical Specialty 15821 S PARK AVE,
SOUTH HOLLAND, IL, United States
05-Feb-2016
1679759559 GWENDOLYN K SEALS Counselor 900 E 162ND ST STE 207,
SOUTH HOLLAND, IL, United States
10-Jan-2008
1912058280 KENNETH O JOHNSON Dentist, General Practice 438 E 162ND ST,
SOUTH HOLLAND, IL, United States
15-Jan-2007
1770769200 MAXINE MCKINNEY-GARCIA Home Health Aide 939 E 167TH PL,
SOUTH HOLLAND, IL, United States
15-Jan-2008
1255662904 GISELE MARIE CASANOVA Psychologist, Clinical 17139 DOBSON AVE,
SOUTH HOLLAND, IL, United States
20-Jan-2010
1285788687 SHELLEY A YOUNG Dentist, General Practice PO BOX 1183,
CALUMET CITY, IL, United States
22-Jan-2007
1073021283 PRAIRIE OASIS, LLC Skilled Nursing Facility 16000 WABASH AVE,
SOUTH HOLLAND, IL, United States
22-Jan-2018
1760849624 ERINN BOONE Counselor 1041 E 168TH PL,
SOUTH HOLLAND, IL, United States
24-Jan-2016
1063718880 AARTI GUPTA Behavior Analyst 17746 OAK PARK AVE,
TINLEY PARK, IL, United States
27-Jan-2011
1609266741 JASMIN PATEL Physician Assistant 222 N COLUMBUS DR, UNIT #2504
CHICAGO, IL, United States
27-Jan-2015
1992841613 BEVERLY HADLEY Dentist, General Practice 962 E 171ST ST,
SOUTH HOLLAND, IL, United States
29-Jan-2007
1548725799 GRACE NWAKA WABOMNOR Nurse Practitioner, Adult Health 17 E GRANDVIEW DR,
SOUTH HOLLAND, IL, United States
01-Feb-2019

How to check whether NPI 1063496693 is valid?

The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

FAQs

Whose NPI Number is 1124020474?

1124020474 is the NPI number of REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME.

Where is REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME located?

REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME is located at 16300 WAUSAU AVE, SOUTH HOLLAND, IL.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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