OrganizationActive
Rest Haven Illiana Christian Convalescent Home
NPI 1124020474 · Skilled Nursing Facility · South Holland, IL
Provider details
- NPI number
- 1124020474
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Joan Mccarthy, Vp Operational Systems(708) 342-8179
- License
- 0023242 (IL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
16300 Wausau Ave
South Holland, IL 60473-2158
Phone: (708) 596-5500
Fax: (708) 596-5527
Street-level locationGet directions
Mailing address
16300 Wausau Ave
South Holland, IL 60473-2158
Other names (DBA / former)
- Doing business as
- Providence Healthcare and Rehabilitation Center South Holland
Registry dates
- Enumerated
- 2005-06-01
- Last updated
- 2009-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.