FAIRFIELD SENIOR LIVING & REHABILITATION LLC
NPI 1639907264
Skilled Nursing Facility in Fairfield, IL

Active since July 24, 2024CLIA 14D2142419 · Waiver
305 NW 11TH ST, FAIRFIELD, IL 62837(618) 842-3036 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fairfield Senior Living & Rehabilitation Llc NPPES

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

FAIRFIELD SENIOR LIVING & REHABILITATION LLC (NPI 1639907264) is a healthcare organization registered as a skilled nursing facility in Fairfield, Illinois and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through January 9, 2028 and lists Scott Stout, Ceo, as its authorized official.

NPPES Registry Identity

NPI1639907264
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameFAIRFIELD SENIOR LIVING & REHABILITATION LLC
Location Address305 NW 11TH STFairfield, IL 62837-1203
Mailing Address35 S Vine StHarrisburg, IL 62946-1738 · (618) 294-8696 · Fax (618) 294-8699
Organization SubpartNo
Authorized OfficialScott StoutCeo · (618) 294-8696
Enumeration DateJuly 24, 2024
NPPES CertifiedJuly 24, 2024
NPI 1639907264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
305 NW 11TH ST, Fairfield, IL 62837

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2142419

Fairfield Senior Living & Rehab LLC · Fairfield, IL
Active · expires Jan 9, 2028
CLIA Number14D2142419
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJanuary 10, 2026
Certificate Expiration DateJanuary 9, 2028
Laboratory DirectorScott Stout
Laboratory Phone(618) 294-8696
Laboratory LocationFairfield Senior Living & Rehab LLC305 NW 11th St, Fairfield, IL 62837
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Skilled Nursing Facility
305 NW 11TH ST
FAIRFIELD, IL 62837
Durable Medical Equipment & Medical Supplies
305 NW 11TH ST
FAIRFIELD, IL 62837

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 Fairfield Senior Living & Rehabilitation LLC's NPI number?

The NPI number for Fairfield Senior Living & Rehabilitation LLC is 1639907264. It was assigned to this organization in the NPPES registry on July 24, 2024.

Where is Fairfield Senior Living & Rehabilitation LLC located?

Fairfield Senior Living & Rehabilitation LLC is located at 305 NW 11th St, Fairfield, IL 62837. The listed phone number is (618) 842-3036.

What is Fairfield Senior Living & Rehabilitation LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Fairfield Senior Living & Rehabilitation LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2142419) is associated with this NPI, valid through January 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fairfield Senior Living & Rehabilitation LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Fairfield Senior Living & Rehabilitation LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fairfield Senior Living & Rehabilitation LLC was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.