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Fairhaven Christian Retirement Center
Nursing Facility/Intermediate Care Facility in Rockford, Illinois
NPI 1710970926

Fairhaven Christian Retirement Center is a Nursing Facility/Intermediate Care Facility based in Rockford, IL. Fairhaven Christian Retirement Center practices in Rockford, IL. The NPI Number for Fairhaven Christian Retirement Center is 1710970926 and holds a License No. 1676858 (Illinois).

The current practice location address for Fairhaven Christian Retirement Center is 3470 N Alpine Rd, Rockford, IL and can be reached out via phone at 815-877-1441 and via fax at 815-877-2040.

Location: 3470 N Alpine Rd, Rockford, IL, 61114-4802
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710970926
Provider Name
Fairhaven Christian Retirement Center
Credential
Provider Entity Type
Organization
Address
3470 N Alpine Rd, Rockford, IL, 61114-4802
Phone Number
815-877-1441
Fax Number
815-877-2040
Provider Enumeration Date
08/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0027987 05 IL
institution
Provider Business Practice Location Address Details
Address
3470 N Alpine Rd
City
Rockford
State
Illinois
Zip
61114-4802
Phone Number
815-877-1441
Fax Number
815-877-2040
person
Provider Business Mailing Address Details
Address
3470 N Alpine Rd
City
Rockford
State
Illinois
Zip
61114-4802
Phone Number
815-877-1441
Fax Number
815-877-2040
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
1676858 (Illinois)
Definition
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 condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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