Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Wisconsin Illinois Senior Housing Inc

Organization Skilled Nursing Facility · NPI 1780673954

Wisconsin Illinois Senior Housing Inc is a Skilled Nursing Facility in Crystal Lake, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

471 W Terra Cotta Ave
Crystal Lake, IL 60014-3434
Phone: (815) 455-0550
Fax: (815) 356-3846
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 0040915 (IL)

Record details

NPI number1780673954
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Sherman — Medicare Program Monitor · (303) 980-0611
Other names Fair Oaks Health Care Center; Fair Oaks Health Care Center
NPI enumeratedOctober 19, 2005
Last updated in NPPESMay 13, 2020
Certification dateMay 13, 2020
Mailing address471 W Terra Cotta Ave, Crystal Lake, IL 60014-3434

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

Other providers in Crystal Lake