Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Harbor Crest Home Inc

Organization Nursing Facility/Intermediate Care Facility · NPI 1083602031

Harbor Crest Home Inc is a Nursing Facility/Intermediate Care Facility in Fulton, 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

817 17th St
Fulton, IL 61252-1020
Phone: (815) 589-3411
Fax: (815) 589-4728
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nursing Facility/Intermediate Care Facility (primary) Taxonomy 313M00000X · Licence 0009530 (IL)

Record details

NPI number1083602031
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Myra Chattic — Administrator · (815) 589-3411
NPI enumeratedOctober 12, 2005
Last updated in NPPESOctober 23, 2012
Mailing address817 17th St, Fulton, IL 61252-1020