OrganizationActive
Wisconsin Illinois Senior Housing Inc.
NPI 1780673954 · Skilled Nursing Facility · Crystal Lake, IL
Provider details
- NPI number
- 1780673954
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Stephanie Sherman, Medicare Program Monitor(303) 980-0611
- License
- 0040915 (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
20 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
471 W Terra Cotta Ave
Crystal Lake, IL 60014-3434
Phone: (815) 455-0550
Fax: (815) 356-3846
Street-level locationGet directions
Mailing address
471 W Terra Cotta Ave
Crystal Lake, IL 60014-3434
Other names (DBA / former)
- Other name
- Fair Oaks Health Care Center
- Other name
- Fair Oaks Health Care Center
Registry dates
- Enumerated
- 2005-10-19
- Last updated
- 2020-05-13
- Certified
- 2020-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.