Active NPI
Fairview Haven Inc
- Skilled Nursing Facility
- Fairbury, IL
On this page
- Key facts
- Authorized official
- Owners & managing parties with NPI records1
- Affiliated clinicians1
- Care Compare: Nursing home
- Laboratory certificates & supplier records
- Medicare participation
- All disclosed owners & managing parties19
- National Provider Directory
- Specialties & licenses1
- Addresses
- NPI Registry JSON
- Other providers in Fairbury, IL
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0008524
- 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.
-
- Family Medicine Physician
- Lexington, IL
- NPI 1790704435
Adp of the SNF, Operational/Managerial Control
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 Haven
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Church related
- Certified
- Jul 1, 1994
- Medicare certification status
- Active
- Certified beds
- 52
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0432450 | Fairview Haven | Certificate of waiver | Aug 31, 2026 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 filesAs disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Karl Edelman | Corporate Director | Jul 1, 2025 | |
| Mark Hartman | Corporate Officer | Jul 1, 2024 | |
| Corporate Director | Jul 1, 2020 | ||
| Ben Leman | Corporate Officer | Jul 1, 2024 | |
| Corporate Director | Jul 1, 2023 | ||
| Trustee of the SNF | Jul 1, 2023 | ||
| David Maul | Corporate Director | Jul 1, 2021 | |
| Trustee of the SNF | Jul 1, 2021 | ||
| Rollin Nussbaum | Corporate Director | Jul 1, 2022 | |
| Wes Steidinger | Corporate Director | Jul 1, 2024 | |
| Trustee of the SNF | Jul 1, 2024 | ||
| Samuel E Steffen | Operational/Managerial Control | Jul 1, 2022 | |
| Adp of the SNF | Feb 19, 2025 | ||
| Brandon Stoller | Operational/Managerial Control | Sep 13, 2021 | |
| Adp of the SNF | Sep 3, 2025 | ||
| David a Blunier | Corporate Officer | Jan 1, 2016 | |
| Adp of the SNF | Aug 12, 2025 | ||
| Emma Dunahee | Operational/Managerial Control | Oct 1, 2021 | |
| Jeremiah Rinkenberger | Operational/Managerial Control | Jul 1, 2018 | |
| Adp of the SNF | Sep 3, 2025 | ||
| Adp of the SNF | Dec 3, 2025 | ||
| Lori Ifft | Operational/Managerial Control | Oct 26, 2017 | |
| Dan Banwart | Corporate Officer | Jul 1, 2024 | |
| Corporate Director | Jul 1, 2016 | ||
| Sally Fehr | Operational/Managerial Control | Apr 16, 1998 | |
| Dixie Steidinger | Operational/Managerial Control | Jan 1, 2016 | |
| Joseph Stuckel | Corporate Director | Jul 1, 2019 | |
| Trustee of the SNF | Jul 1, 2019 |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0008524 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.