Active NPI
Fairview Nursing Plaza, Inc.
- Skilled Nursing Facility
- Rockford, IL
National Provider Identifier
1851396238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0037655
- Legal business name
- FAIRVIEW NURSING PLAZA, INC.
- Practice address
- 321 Arnold Ave
Rockford, IL 61108-2315 - Phone
- (815) 397-5531
- Fax
- (815) 397-7629
- NPI assigned
- Jun 14, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thomas Winter, CPA
- Title
- Treasurer
- Phone
- (847) 674-5200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0037655 | IL | Primary |
Addresses
Primary practice location
321 Arnold Ave
Rockford, IL 61108-2315
Mailing address
4100 W Pratt Ave
Lincolnwood, IL 60712-3517
Phone (847) 674-5200
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289433600000",
"number": "1851396238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 W PRATT AVE",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607123517",
"telephone_number": "847-674-5200",
"fax_number": "847-674-5267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 ARNOLD AVE",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611082315",
"telephone_number": "815-397-5531",
"fax_number": "815-397-7629"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAIRVIEW NURSING PLAZA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-14",
"last_updated": "2010-11-11",
"status": "A",
"authorized_official_last_name": "WINTER",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "847-674-5200",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IL",
"license": "0037655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.