Haven of Wabash, LLC
Organization Active NPI Skilled Nursing Facility · Grayville, IL
NPI 1922987429 · NPPES record last updated Aug 28, 2025
Key facts
- NPI
- 1922987429
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- HAVEN OF WABASH, LLC
- Practice address
- 320 S 2ND St
Grayville, IL 62844-1527 - Phone
- (618) 375-1371
- NPI assigned
- Aug 28, 2025
- Organization subpart
- No
Authorized official
- Name
- Mr. Levi Israel
- Title
- Ceo
- Phone
- (847) 905-3283
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
320 S 2ND St
Grayville, IL 62844-1527
Mailing address
2201 Main St
Evanston, IL 60202-1519
Phone (773) 989-3000
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- Grayville Community Unit School District #1
- Grayville Cusd #1
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- Keith C Winternheimer DDS PC
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All providers in Grayville, IL · Skilled Nursing Facility in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.