Organization Active NPI

Fairview Nursing Plaza, Inc.

  • Skilled Nursing Facility
  • Rockford, IL
National Provider Identifier
1851396238
Registry record updated Nov 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0037655 Issued in IL
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

Updated by the provider on Nov 11, 2010

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.