FAIRHAVEN CHRISTIAN RETIREMENT CENTER is a nursing facility intermediate care facility in Rockford, 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. FAIRHAVEN CHRISTIAN RETIREMENT CENTER NPI is 1710970926. The provider is registered as an organization entity type.
The provider's business location address is:
3470 N ALPINE RD
ROCKFORD, IL
ZIP 61114-802
Phone: (815) 877-1441
Fax: (815) 877-2040
The provider's authorized official is Jeffrey R. Reierson .
The authorized official title is Assistant Admin./dir Of Finance and has the following contact phone number (815) 877-1441.
The CLIA number assigned to this NPI record is 14D0430401 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/24/2005 and was last updated on 8/22/2020.