FAIR HAVENS SENIOR LIVING LLC
NPI 1720638521
Skilled Nursing Facility in Decatur, IL

Active since September 13, 2019CLIA 14D2180436 · Waiver
1/5
Overall Rating
1790 S FAIRVIEW AVE, DECATUR, IL 62521(217) 429-2551 Get Directions Write a Review

NPPES record last updated: December 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 31, 2024, Sep 13, 2019 (2 updates tracked since 2019).

About Fair Havens Senior Living Llc NPPES

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

FAIR HAVENS SENIOR LIVING LLC (NPI 1720638521) is a healthcare organization registered as a skilled nursing facility in Decatur, Illinois and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through February 19, 2027 and lists Sarah Dujua, Director Of Ar, as its authorized official.

NPPES Registry Identity

NPI1720638521
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameFAIR HAVENS SENIOR LIVING LLC
Location Address1790 S FAIRVIEW AVEDecatur, IL 62521-4010
Mailing Address1790 S Fairview AveDecatur, IL 62521-4010
Organization SubpartNo
Authorized OfficialSarah DujuaDirector Of Ar · (630) 217-1014
Enumeration DateSeptember 13, 2019
Last NPPES UpdateDecember 31, 20242 updates tracked since enumeration
NPPES CertifiedDecember 31, 2024
NPI 1720638521 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.
1790 S FAIRVIEW AVE, Decatur, IL 62521

Other Names 1

Doing Business AsFair Havens Senior Living Llc

Other Identifiers 1

Medicaid84296841001IL

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 14D2180436

Fairhavens Senior Living · Decatur, IL
Active · expires Feb 19, 2027
CLIA Number14D2180436
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateFebruary 20, 2025
Certificate Expiration DateFebruary 19, 2027
Laboratory DirectorJennifer Banks
Laboratory Phone(217) 429-2551
Laboratory LocationFairhavens Senior Living1790 S Fairview Ave, Decatur, IL 62521
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Fair Havens Senior Living (CMS certification number 145422), from CMS Care Compare.

Fair Havens Senior Living

Nursing home · Decatur, IL
1/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number145422
Certified Beds154 beds96 residents per day on average
Medicare & Medicaid Participant SinceJuly 1, 1981
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
4/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
1/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
221.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.6 · LPN 0.95 · RN 0.23
3.78 hrs per resident per day
Weekend Nurse Staffing
3.26 hrs per resident per day
Physical Therapist Staffing
0.06 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
44%
Registered Nurse Turnover
20%
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

CMS has flagged this facility with its abuse flag, indicating a citation for abuse or neglect on a recent inspection report.
Facility-Reported Incidents
12
Substantiated Complaints
28
Infection-Control Citations
1
Fines
4 totaling $144,803.42
Medicare Payment Denials
2
Total Penalties
6
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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.

Occupational Therapy Assistant
1790 S FAIRVIEW AVE
DECATUR, IL 62521
Skilled Nursing Facility
1790 S FAIRVIEW AVE
DECATUR, IL 62521
Occupational Therapy Assistant
1790 S FAIRVIEW AVE
DECATUR, IL 62521
Occupational Therapy Assistant
1790 S FAIRVIEW AVE
DECATUR, IL 62521
Physical Therapist
1790 S FAIRVIEW AVE
DECATUR, IL 62521
Physical Therapist
1790 S FAIRVIEW AVE
DECATUR, IL 62521
Occupational Therapy Assistant
1790 S FAIRVIEW AVE
DECATUR, IL 62521
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
1790 S FAIRVIEW AVE
DECATUR, IL 62521

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 Senior Living LLC's NPI number?

The NPI number for Fair Havens Senior Living LLC is 1720638521. It was assigned to this organization in the NPPES registry on September 13, 2019.

Where is Fair Havens Senior Living LLC located?

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

What is Fair Havens Senior Living LLC's specialty?

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

Does Fair Havens Senior Living LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2180436) is associated with this NPI, valid through February 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Fair Havens Senior Living LLC a Medicare-certified nursing home?

Yes. Fair Havens Senior Living is a Medicare-certified nursing home with 154 certified beds.

What quality rating does Fair Havens Senior Living LLC have?

CMS rates Fair Havens Senior Living 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Fair Havens Senior Living LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Fair Havens Senior Living 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 Fair Havens Senior Living LLC was last updated on December 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.