Organization Active NPI

Fairview Haven Inc

  • Skilled Nursing Facility
  • Fairbury, IL
National Provider Identifier
1114987161
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0008524 Issued in IL
Legal business name
FAIRVIEW HAVEN INC
Practice address
605 N 4TH St
Fairbury, IL 61739-1210
Phone
(815) 692-2572
Fax
(815) 692-4257
NPI assigned
Mar 24, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Richard L Plattner
Title
Administrator
Phone
(815) 692-2572

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Fairview HavenCCN 145794
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Church related
Certified
Jul 1, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5247.1 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0432450Fairview Haven605 North 4TH St, Fairbury, IL 61739Certificate of waiverAug 31, 2026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080520000548 IL Part A Provider - Skilled Nursing Facility 7012086820 Practice locations: Fairbury, IL

Skilled nursing facility certification: CCN 145794

Legal name
FAIRVIEW HAVEN INC
Doing business as
TEMPLIN HEALTHCARE ACCOUNTING SERVICES
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1994
Last certification
Sep 11, 2024
Beds
52
Ownership / control type
Church Related
Organization structure
CorporationNon-profit
Incorporated
May 25, 1961 in IL
Enrollment address
605 N 4TH St
Fairbury, IL 61739-1210
Nursing home name
FAIRVIEW HAVEN

All disclosed owners & managing parties 19

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Karl Edelman Individual Corporate DirectorBoard Member Jul 1, 2025
Mark Hartman Individual Corporate Officer Jul 1, 2024
Corporate DirectorBoard Member Jul 1, 2020
Ben Leman Individual Corporate OfficerSecretary Jul 1, 2024
Corporate DirectorBoard Member Jul 1, 2023
Trustee of the SNF Jul 1, 2023
David Maul Individual Corporate DirectorBoard Member Jul 1, 2021
Trustee of the SNF Jul 1, 2021
Rollin Nussbaum Individual Corporate DirectorBoard Member Jul 1, 2022
Wes Steidinger Individual Corporate Director Jul 1, 2024
Trustee of the SNF Jul 1, 2024
Samuel E Steffen Individual Operational/Managerial Control Jul 1, 2022
Adp of the SNF Feb 19, 2025
Brandon Stoller Individual Operational/Managerial Control Sep 13, 2021
Organization, Fairbury, IL Financial institution Adp of the SNF Sep 3, 2025
David a Blunier Individual Corporate OfficerCeo Jan 1, 2016
Adp of the SNF Aug 12, 2025
Emma Dunahee Individual Operational/Managerial Control Oct 1, 2021
Jeremiah Rinkenberger Individual Operational/Managerial Control Jul 1, 2018
Organization, Peoria, IL Management services company Adp of the SNF Sep 3, 2025
Organization, Plainfield, IL Adp of the SNF Dec 3, 2025
Lori Ifft Individual Operational/Managerial Control Oct 26, 2017
Dan Banwart Individual Corporate OfficerPresident Jul 1, 2024
Corporate DirectorBoard Member Jul 1, 2016
Sally Fehr Individual Operational/Managerial Control Apr 16, 1998
Dixie Steidinger Individual Operational/Managerial Control Jan 1, 2016
Joseph Stuckel Individual Corporate DirectorBoard Member Jul 1, 2019
Trustee of the SNF Jul 1, 2019

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0008524 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

605 N 4TH St
Fairbury, IL 61739-1210

Mailing address

605 N 4TH St
PO Box 20
Fairbury, IL 61739-1210
Phone (815) 692-2572

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114987161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 N 4TH ST",
            "address_2": "PO BOX 20",
            "city": "FAIRBURY",
            "state": "IL",
            "postal_code": "617391210",
            "telephone_number": "815-692-2572",
            "fax_number": "815-692-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 N 4TH ST",
            "city": "FAIRBURY",
            "state": "IL",
            "postal_code": "617391210",
            "telephone_number": "815-692-2572",
            "fax_number": "815-692-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRVIEW HAVEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PLATTNER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "815-692-2572",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0008524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbury, IL

Sources for this page

Verify at the official NPI Registry.