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Fair Havens Senior Living LLC

Skilled Nursing Facility in Decatur, IL · enumerated 2019 · authorized official Sarah Dujua, Director of Ar.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1720638521

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Registry record

Entity type Organization (Type 2)
Legal business name Fair Havens Senior Living LLC
Other name <Unavail>
Practice address 1790 S Fairview Ave, Decatur, IL, 62521
Phone (217) 429-2551
Enumeration date Sep 13, 2019
Last updated in NPPES Dec 31, 2024

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Sarah Dujua
Title Director of Ar
Phone (630) 217-1014

Other identifiers

Identifier Type State Issuer
84296841001 Medicaid IL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-12-31. Verify at npiregistry.cms.hhs.gov.
Where is Fair Havens Senior Living LLC located?
The practice location on file with NPPES is in Decatur, IL.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-12-31.