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FAIR HAVENS CHRISTIAN HOME, INC.
NPI 1528219938
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies in Decatur, IL

Active since October 03, 2008
1790 S FAIRVIEW AVE, DECATUR, IL 62521(217) 429-2551(217) 429-2942 Get Directions Write a Review

NPPES record last updated: December 11, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fair Havens Christian Home, Inc. NPPES

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

FAIR HAVENS CHRISTIAN HOME, INC. (NPI 1528219938) is a healthcare organization registered as an oxygen equipment & supplies in Decatur, Illinois and active in the NPI registry since October 2008. The organization lists Susan Mcghee, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1528219938
Entity TypeOrganization
Primary Taxonomy332BX2000X
Legal Business NameFAIR HAVENS CHRISTIAN HOME, INC.
Location Address1790 S FAIRVIEW AVEDecatur, IL 62521-4010
Mailing Address1790 S Fairview AveDecatur, IL 62521-4010 · (217) 429-2551 · Fax (217) 429-2942
Phone(217) 429-2551
Fax(217) 429-2942
Organization SubpartNo
Authorized OfficialSusan McgheeChief Financial Officer · (314) 587-7903
Enumeration DateOctober 3, 2008
Last NPPES UpdateDecember 11, 2013
✔ NPI 1528219938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Oxygen Equipment & SuppliesSuppliers
Taxonomy Code332BX2000X
License✔ Licensed in IL · 0018143
1790 S FAIRVIEW AVE, Decatur, IL 62521
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Other Identifiers 1

Medicaid=========801IL

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS TRACY MARIE DANIELS COTA/L
Occupational Therapy Assistant
1790 S FAIRVIEW AVE
DECATUR, IL 62521
Macon County (217) 429-2551
FAIR HAVENS CHRISTIAN HOME, INC.
Skilled Nursing Facility
1790 S FAIRVIEW AVE
DECATUR, IL 62521
Macon County (217) 429-2551
MRS. MICHELLE LYNN DEHAAI FLETCHER COTA
Occupational Therapy Assistant
1790 S FAIRVIEW AVE
DECATUR, IL 62521
Macon County (217) 429-2551
MICHAEL WARNER COTA
Occupational Therapy Assistant
1790 S FAIRVIEW AVE
DECATUR, IL 62521
Macon County (217) 429-2551
PAUL ALBERT LEO ECHEVARRIA DPT
Physical Therapist
1790 S FAIRVIEW AVE
DECATUR, IL 62521
Macon County (217) 429-2551
GREGORY EUGENE HAMILTON JR. P.T.
Physical Therapist
1790 S FAIRVIEW AVE
DECATUR, IL 62521
Macon County (217) 429-2551
KRIS BERNARDIN III
Occupational Therapy Assistant
1790 S FAIRVIEW AVE
DECATUR, IL 62521
Macon County (217) 429-2551
ALLYSON WEGS
Physical Therapy Assistant
1790 S FAIRVIEW AVE
DECATUR, IL 62521
Macon County (217) 429-2551

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 Fair Havens Christian Home, Inc.'s NPI number?

The NPI number for Fair Havens Christian Home, Inc. is 1528219938. It was assigned to this organization in the NPPES registry on October 3, 2008.

Where is Fair Havens Christian Home, Inc. located?

Fair Havens Christian Home, Inc. is located at 1790 S Fairview Ave, Decatur, IL 62521. The listed phone number is (217) 429-2551.

What is Fair Havens Christian Home, Inc.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Oxygen Equipment & Supplies, with taxonomy code 332BX2000X.

When was this NPI record last updated?

The NPPES record for Fair Havens Christian Home, Inc. was last updated on December 11, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.