NPIMap

Rest Haven Illiana Christian Convalescent Home

A Medicare group practice based in Homer Glen, IL: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 1052221470), with 4 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1052221470The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Home Health Agency, Part A Provider - Hospice, Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice
Enrolled in
IL, IN
Enrollments
6
Group size
4 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 2 places

Enrollment records 6

Enrollment IDStateProvider typeNPI
O20070904000298 IL Part A Provider - Home Health Agency 1568461820
O20100324000540 IL Part A Provider - Hospice 1407855562
O20200713001575 IN Part B Supplier - Clinic/Group Practice 1548614910
O20140214000742 IL Part B Supplier - Clinic/Group Practice 1407855562
O20160826000379 IN Part A Provider - Hospice 1548614910
O20150415001911 IL Part A Provider - Skilled Nursing Facility 1629476056

NPIs in this group 4

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 4

Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (4).

Sources for this page