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PRAIRIE GREEN AT FAY'S POINT
NPI 1659771814
Assisted Living Facility in Blue Island, IL

Active since August 25, 2014
1546 WATER ST, BLUE ISLAND, IL 60406(708) 754-5700 Get Directions Write a Review

NPPES record last updated: August 25, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Prairie Green At Fay's Point NPPES

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

PRAIRIE GREEN AT FAY'S POINT (NPI 1659771814) is a healthcare organization registered as an assisted living facility in Blue Island, Illinois and active in the NPI registry since August 2014. The organization lists Carmen Ballentine, Medicaid Compliance Manager, as its authorized official.

NPPES Registry Identity

NPI1659771814
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePRAIRIE GREEN AT FAY'S POINT
Location Address1546 WATER STBlue Island, IL 60406-2708
Mailing Address1546 Water StBlue Island, IL 60406-2708 · (708) 754-5700
Phone(708) 754-5700
Organization SubpartNo
Authorized OfficialCarmen BallentineMedicaid Compliance Manager · (708) 754-5700
Enumeration DateAugust 25, 2014
✔ NPI 1659771814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

1546 WATER ST, Blue Island, IL 60406
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Other Identifiers 1

Medicaid=========001IL

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.

MRS. DEBRA WITT PT
Physical Therapist
1546 WATER ST
BLUE ISLAND, IL 60406
Cook County (708) 505-2298
NATALIE RENEE CASEY PT, DPT
Physical Therapist
1546 WATER ST
BLUE ISLAND, IL 60406
Cook County (815) 370-4581

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 Prairie Green At Fay's Point's NPI number?

The NPI number for Prairie Green At Fay's Point is 1659771814. It was assigned to this organization in the NPPES registry on August 25, 2014.

Where is Prairie Green At Fay's Point located?

Prairie Green At Fay's Point is located at 1546 Water St, Blue Island, IL 60406. The listed phone number is (708) 754-5700.

What is Prairie Green At Fay's Point's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Prairie Green At Fay's Point was last updated on August 25, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.