HARBOR CREST HOME INC
NPI 1083602031
Nursing Facility/Intermediate Care Facility in Fulton, IL

Q: What is Harbor Crest Home Inc's NPI number?

The NPI number for Harbor Crest Home Inc is 1083602031. It was assigned to this organization in the NPPES registry on October 12, 2005.

Q: What is Harbor Crest Home Inc's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Active since October 12, 2005

817 17TH ST, FULTON, IL 61252(815) 589-3411(815) 589-4728 Get Directions Write a Review

NPPES record last updated: October 23, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Harbor Crest Home Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HARBOR CREST HOME INC (NPI 1083602031) is a healthcare organization registered as a nursing facility/intermediate care facility in Fulton, Illinois and active in the NPI registry since October 2005. The organization lists Myra A Chattic, Administrator, as its authorized official.

NPPES Registry Identity

NPI1083602031

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NameHARBOR CREST HOME INC

Location Address817 17TH STFulton, IL 61252-1020

Mailing Address817 17th StFulton, IL 61252-1020 · (815) 589-3411 · Fax (815) 589-4728

Phone(815) 589-3411

Fax(815) 589-4728

Organization SubpartNo

Authorized OfficialMyra A ChatticAdministrator · (815) 589-3411

Enumeration DateOctober 12, 2005

Last NPPES UpdateOctober 23, 2012

✔ NPI 1083602031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities

Taxonomy Code313M00000X

License✔ Licensed in IL · 0009530

Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

817 17TH ST, Fulton, IL 61252

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Harbor Crest Home Inc's NPI number?

The NPI number for Harbor Crest Home Inc is 1083602031. It was assigned to this organization in the NPPES registry on October 12, 2005.

Where is Harbor Crest Home Inc located?

Harbor Crest Home Inc is located at 817 17th St, Fulton, IL 61252. The listed phone number is (815) 589-3411.

What is Harbor Crest Home Inc's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Harbor Crest Home Inc was last updated on October 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.