Fair Havens Senior Living LLC
NPI 1720638521ActiveOrganization· Skilled Nursing Facility· Decatur, IL
Skilled Nursing Facility in Decatur, Illinois, registered in NPPES in September 2019. The authorized official on file is Sarah Dujua, Director Of Ar. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1720638521 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 13, 2019 |
| Last updated in NPPES | Dec 31, 2024 |
| Certified by provider | Dec 31, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (IL) |
|---|
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