HAVEN OF ARCOLA, LLC
NPI 1841019973
Skilled Nursing Facility in Arcola, IL

Active since October 07, 2024CLIA 14D0875931 · Waiver
422 E 4TH ST S, ARCOLA, IL 61910(217) 268-3022 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2025, Oct 7, 2024 (2 updates tracked since 2024).

About Haven Of Arcola, Llc NPPES

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

HAVEN OF ARCOLA, LLC (NPI 1841019973) is a healthcare organization registered as a skilled nursing facility in Arcola, Illinois and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through September 2, 2027 and lists Levi Israel, Ceo, as its authorized official.

NPPES Registry Identity

NPI1841019973
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameHAVEN OF ARCOLA, LLC
Location Address422 E 4TH ST SArcola, IL 61910-2059
Mailing Address2201 Main StEvanston, IL 60202-1519 · (847) 905-3220
Organization SubpartNo
Authorized OfficialLevi IsraelCeo · (847) 905-3000
Enumeration DateOctober 7, 2024
Last NPPES UpdateMarch 7, 20252 updates tracked since enumeration
NPPES CertifiedMarch 7, 2025
NPI 1841019973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X
422 E 4TH ST S, Arcola, IL 61910

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 14D0875931

Haven Of Arcola, LLC, The · Arcola, IL
Active · expires Sep 2, 2027
CLIA Number14D0875931
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateSeptember 3, 2025
Certificate Expiration DateSeptember 2, 2027
Laboratory DirectorPaula K. Mason
Laboratory Phone(217) 268-3022
Laboratory LocationHaven Of Arcola, LLC, The422 E 4th St S, Arcola, IL 61910
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

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

Skilled Nursing Facility
422 E 4TH ST S
ARCOLA, IL 61910

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 Haven Of Arcola, LLC's NPI number?

The NPI number for Haven Of Arcola, LLC is 1841019973. It was assigned to this organization in the NPPES registry on October 7, 2024.

Where is Haven Of Arcola, LLC located?

Haven Of Arcola, LLC is located at 422 E 4th St S, Arcola, IL 61910. The listed phone number is (217) 268-3022.

What is Haven Of Arcola, LLC's specialty?

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

Does Haven Of Arcola, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0875931) is associated with this NPI, valid through September 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Haven Of Arcola, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Haven Of Arcola, 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 Haven Of Arcola, LLC was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.