HARBOR CREST HOME INC NPI 1083602031

NPI Details

HARBOR CREST HOME INC is a nursing facility intermediate care facility in Fulton, IL. The provider is 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. HARBOR CREST HOME INC NPI is 1083602031. The provider is registered as an organization entity type.

The provider's business location address is:

817 17TH ST
FULTON, IL
ZIP 61252-020
Phone: (815) 589-3411
Fax: (815) 589-4728

The provider's authorized official is Myra A Chattic .
The authorized official title is Administrator and has the following contact phone number (815) 589-3411.

The enumeration date for this NPI number is 10/12/2005 and was last updated on 10/23/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: