Organization · Type 2 NPI

Fairhaven Christian Retirement Center

Nursing Facility/Intermediate Care Facility · Rockford, IL

NPI number 1710970926 Active

Practice location

3470 N Alpine Rd
Rockford, IL 61114-4802

Fax (815) 877-2040

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000X1676858 (IL)

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

6 other providers at this address

About NPI 1710970926

Fairhaven Christian Retirement Center's National Provider Identifier is 1710970926, issued on Aug 24, 2005. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Rockford, IL. The record was last updated on Aug 22, 2020.