Rest Haven Illiana Christian Convalescent Home

NPI: 1124020474

Rest Haven Illiana Christian Convalescent Home

Q: What is Rest Haven Illiana Christian Convalescent Home's provider type?

Rest Haven Illiana Christian Convalescent Home is an Organization under CMS NPI Type 2.

ActiveOrganizationSpecialty not listed

NPI issued: June 1, 2005

Quick Facts

NPI Number

1124020474

TypeOrganization

StatusActive

SpecialtySpecialty not listed

Taxonomy314000000X — Specialty not listed

Phone

(708) 596-5500

StateIL

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1124020474)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (June 1, 2005)

Data source: CMS NPPES

Provider Overview

REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME is a Healthcare provider based in South Holland, IL who has been registered with CMS since 2005. They are affiliated with Providence Healthcare And Rehabilitation Center South Holland. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1124020474

Provider TypeOrganization

StatusActive

Enumeration DateJune 1, 2005

Practice Location

CitySouth Holland

StateIL

ZIP Code60473-2158

Phone(708) 596-5500

Specialties & Licenses

★ Primary

SpecialtySpecialty not listed

Taxonomy Code314000000X

License StateIL

Mailing Address

CitySouth Holland

StateIL

ZIP Code60473-2158

Phone(708) 596-5500

Same as practice location

Hospital & Organization Affiliations

🏢

Providence Healthcare And Rehabilitation Center South Holland

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How to Use This NPI

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For Insurance Billing

Use NPI 1124020474 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1124020474for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1124020474 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

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