Fair Havens Senior Living LLC
NPI 1720638521 · Skilled Nursing Facility · Decatur, IL
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fair Havens Senior Living LLC is a Skilled Nursing Facility organization in Decatur, IL (NPI 1720638521).
Provider details
- NPI number
- 1720638521
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Sarah Dujua, Director of Ar(630) 217-1014
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
6 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
- Fair Havens Senior Living LLC
- Doing business as
- Fair Havens Senior Living LLC
Registry dates
- Enumerated
- 2019-09-13
- Last updated
- 2024-12-31
- Certified
- 2024-12-31
Frequently asked questions
- What is Fair Havens Senior Living LLC's NPI number?
- Fair Havens Senior Living LLC's National Provider Identifier (NPI) is 1720638521, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fair Havens Senior Living LLC?
- Fair Havens Senior Living LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Fair Havens Senior Living LLC located?
- Fair Havens Senior Living LLC's practice location on file with NPPES is 1790 S Fairview Ave, Decatur, IL 62521-4010.
- What is Fair Havens Senior Living LLC's phone number?
- The practice phone number listed in the NPPES registry for Fair Havens Senior Living LLC is (217) 429-2551.
- Does Fair Havens Senior Living LLC accept Medicare?
- Fair Havens Senior Living LLC 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 Fair Havens Senior Living LLC?
- The authorized official listed on Fair Havens Senior Living LLC's NPPES record is Sarah Dujua, Director of Ar. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fair Havens Senior Living LLC's NPI active?
- Yes — Fair Havens Senior Living LLC's NPI (1720638521) is active in the NPPES registry as of the last update on 2024-12-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.