DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: FAIRVIEW NURSING PLAZA, INC.

MEDICARE: FAIRVIEW NURSING PLAZA, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility0037655IL

General Provider Information

NPI Number : 1851396238
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAIRVIEW NURSING PLAZA, INC.
Provider Business Mailing Address
First Line : 4100 W PRATT AVE
Second Line :
City : LINCOLNWOOD
State : IL
Zip : 60712-3517
Country : US
Telephone Number : 847-674-5200
Fax Number : 847-674-5267
Provider Business Practice Location Address
First Line : 321 ARNOLD AVE
Second Line :
City : ROCKFORD
State : IL
Zip : 61108-2315
Country : US
Telephone Number : 815-397-5531
Fax Number : 815-397-7629
Authorized Official
Title or Position : TREASURER
Name : MR. THOMAS WINTER
Credential : CPA
Telephone Number : 847-674-5200
Provider Enumeration Date : 06/14/2005
Last Update Date : 11/11/2010

Similar Medicare Providers

1245559251 — TRISHA OSBORNE
Practice Location Address:
321 ARNOLD AVE
ROCKFORD, IL
61108-2315
Practice Phone: 815-397-5531
Practice Fax:
1629360284 — ADAPT OF ILLINOIS, INC.
Practice Location Address:
321 ARNOLD AVE
ROCKFORD, IL
61108-2315
Practice Phone: 877-553-9440
Practice Fax: 312-553-9441
1588074363 — FOREST CITY REHAB AND NURSING CENTER, LLC
Practice Location Address:
321 ARNOLD AVE
ROCKFORD, IL
61108-2315
Practice Phone: 815-397-5531
Practice Fax:
1043816218 — SARA JEAN DEBROCK APRN, FNP-C
Practice Location Address:
321 ARNOLD AVE
ROCKFORD, IL
61108-2315
Practice Phone: 630-450-0488
Practice Fax:
1093487266 — KIMBERLY DEMAYO RN
Practice Location Address:
321 ARNOLD AVE
ROCKFORD, IL
61108-2315
Practice Phone: 815-397-5531
Practice Fax:
1134959216 — JORDAN ELIZABETH SCHUETZ PA-C
Practice Location Address:
1401 E STATE ST
ROCKFORD, IL
61104-2315
Practice Phone: 779-696-4400
Practice Fax:

Directions to “FAIRVIEW NURSING PLAZA, INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.