Fairview Health Of Southport, LLC
Skilled Nursing Facility in Southport, Connecticut
1811087018- Practice location
- 930 Mill Hill Ter, Southport, CT 06890-1265
- Phone
- 203-259-7894
- Fax
- 203-254-3720
- Last updated
- October 15, 2012
Fairview Health Of Southport, LLC is a healthcare organization based in Southport, CT. Fairview Health Of Southport, LLC practices in Southport, CT. The NPI Number for Fairview Health Of Southport, LLC is 1811087018 and holds a License No. 2307-C (CT). The current practice location address for Fairview Health Of Southport, LLC is 930 Mill Hill Ter, Southport, CT 06890-1265 and can be reached out via phone at 203-259-7894 and via fax at 203-254-3720.
Provider Profile Details
- NPI Number
- 1811087018
- Provider Name
- Fairview Health Of Southport, LLC
- Provider Entity Type
- Organization
- Address
- 930 Mill Hill Ter, Southport, CT 06890-1265
- Phone Number
- 203-259-7894
- Fax Number
- 203-254-3720
- Primary Taxonomy
- Skilled Nursing Facility · 314000000X
- Organization Subpart
- No
- Authorized Official
- Mr. Timothy Dolce, CONTROLLER · Controller · 203-259-7894
- Provider Enumeration Date
- October 16, 2006
- Last Update Date
- October 15, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 930 Mill Hill Ter
Southport, CT 06890-1265 - City
- Southport
- State
- Connecticut
- Zip
- 06890-1265
- Phone Number
- 203-259-7894
- Fax Number
- 203-254-3720
Provider Business Mailing Address Details
- Address
- 930 Mill Hill Ter
Southport, CT 06890-1265 - City
- Southport
- State
- CT
- Zip
- 06890-1265
- Phone Number
- 203-259-7894
- Fax Number
- 203-254-3720
License Information
- License Number
- 2307-C
- License State
- CT
- 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. | |||
Other Skilled Nursing Facility providers near Southport, CT
View all Skilled Nursing Facility providers in Southport →- Southport Center For Nursing & Rehabilitation, LLCSkilled Nursing Facility · NPI 1386210755
- Mrs. Margaret R YatesPhysical Therapist · NPI 1538348404
- Delaina Merkert, DNP, APRN, FNP-BCNurse Practitioner, Family · NPI 1942934245
- Progressive Care Medical Group Of CT, PLLCNurse Practitioner · NPI 1679107940
- Atharva HegishtePhysical Therapist · NPI 1053222745
- Regina Dowd, RNRegistered Nurse, Case Management · NPI 1821909623
Frequently Asked Questions
What is the NPI number of Fairview Health Of Southport, LLC?
The NPI number of Fairview Health Of Southport, LLC is 1811087018. It was assigned on October 16, 2006 and is currently active in the NPPES registry.
What is the specialty of Fairview Health Of Southport, LLC?
Fairview Health Of Southport, LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X), licensed in CT under license number 2307-C.
Where does Fairview Health Of Southport, LLC practice?
The practice location is 930 Mill Hill Ter, Southport, CT 06890-1265. The office can be reached at 203-259-7894 (phone) or 203-254-3720 (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 1811087018 directly on the NPPES registry website.