Our Lady'S Haven Of Fairhaven, INC.
Skilled Nursing Facility in Fairhaven, Massachusetts
1073508883- Practice location
- 71 Center St, Fairhaven, MA 02719-3822
- Phone
- 508-999-4561
- Fax
- 508-997-0254
- Last updated
- January 11, 2022
Our Lady'S Haven Of Fairhaven, INC. is a healthcare organization based in Fairhaven, MA. Our Lady'S Haven Of Fairhaven, INC. practices in Fairhaven, MA. The NPI Number for Our Lady'S Haven Of Fairhaven, INC. is 1073508883 and holds a License No. 887 (MA). The current practice location address for Our Lady'S Haven Of Fairhaven, INC. is 71 Center St, Fairhaven, MA 02719-3822 and can be reached out via phone at 508-999-4561 and via fax at 508-997-0254.
Provider Profile Details
- NPI Number
- 1073508883
- Provider Name
- Our Lady'S Haven Of Fairhaven, INC.
- Provider Entity Type
- Organization
- Address
- 71 Center St, Fairhaven, MA 02719-3822
- Phone Number
- 508-999-4561
- Fax Number
- 508-997-0254
- Primary Taxonomy
- Skilled Nursing Facility · 314000000X
- Organization Subpart
- No
- Authorized Official
- Joanne Roque · Ceo · 508-679-8154
- Provider Enumeration Date
- September 19, 2005
- Last Update Date
- January 11, 2022
- Certification Date
- January 11, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 71 Center St
Fairhaven, MA 02719-3822 - City
- Fairhaven
- State
- Massachusetts
- Zip
- 02719-3822
- Phone Number
- 508-999-4561
- Fax Number
- 508-997-0254
Provider Business Mailing Address Details
- Address
- 71 Center St
Fairhaven, MA 02719-3822 - City
- Fairhaven
- State
- MA
- Zip
- 02719-3822
- Phone Number
- 508-999-4561
- Fax Number
- 508-997-0254
License Information
- License Number
- 887
- License State
- MA
- Taxonomy
- Skilled Nursing Facility · 314000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Our Lady'S Haven Of Fairhaven, INC.?
The NPI number of Our Lady'S Haven Of Fairhaven, INC. is 1073508883. It was assigned on September 19, 2005 and is currently active in the NPPES registry.
What is the specialty of Our Lady'S Haven Of Fairhaven, INC.?
Our Lady'S Haven Of Fairhaven, INC. is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X), licensed in MA under license number 887.
Where does Our Lady'S Haven Of Fairhaven, INC. practice?
The practice location is 71 Center St, Fairhaven, MA 02719-3822. The office can be reached at 508-999-4561 (phone) or 508-997-0254 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073508883 directly on the NPPES registry website.