Rest Haven Illiana Christian Convalescent Home
NPI 1629476056 · Skilled Nursing Facility · Homer Glen, IL
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rest Haven Illiana Christian Convalescent Home is a Skilled Nursing Facility organization in Homer Glen, IL (NPI 1629476056).
Provider details
- NPI number
- 1629476056
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Johanna Zandstra, Compliance Officer(708) 342-8137
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
Mailing address
Other names (DBA / former)
- Doing business as
- Victorian Village Health and Wellness Center
Registry dates
- Enumerated
- 2014-12-17
- Last updated
- 2025-10-01
- Certified
- 2025-10-01
Frequently asked questions
- What is Rest Haven Illiana Christian Convalescent Home's NPI number?
- Rest Haven Illiana Christian Convalescent Home's National Provider Identifier (NPI) is 1629476056, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Rest Haven Illiana Christian Convalescent Home?
- Rest Haven Illiana Christian Convalescent Home is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Rest Haven Illiana Christian Convalescent Home located?
- Rest Haven Illiana Christian Convalescent Home's practice location on file with NPPES is 12525 Renaissance Cir, Homer Glen, IL 60491-5896.
- What is Rest Haven Illiana Christian Convalescent Home's phone number?
- The practice phone number listed in the NPPES registry for Rest Haven Illiana Christian Convalescent Home is (708) 301-0800.
- Does Rest Haven Illiana Christian Convalescent Home accept Medicare?
- Rest Haven Illiana Christian Convalescent Home is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Rest Haven Illiana Christian Convalescent Home?
- The authorized official listed on Rest Haven Illiana Christian Convalescent Home's NPPES record is Johanna Zandstra, Compliance Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Rest Haven Illiana Christian Convalescent Home's NPI active?
- Yes — Rest Haven Illiana Christian Convalescent Home's NPI (1629476056) is active in the NPPES registry as of the last update on 2025-10-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.