184 Main LLC

Skilled Nursing Facility · Fairhaven, MA

Organization Active NPI

NPI number 1902817299

Practice location

184 Main Street
Fairhaven, MA 02719
Phone
(508) 997-3193
Fax
(508) 991-5615

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NPI record

NPI
1902817299
Entity type
Organization (Type 2)
Enumeration date
August 11, 2006
Last updated
October 28, 2013
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary 314000000X — —
Skilled Nursing Facility 314000000X 0646 MA

Authorized official

Name
Paula Reid
Title
Controller
Phone
(508) 743-8159

Other names

  • Royal Fairhaven Nursing & Rehab

About 184 Main LLC

184 Main LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 184 Main Street, Fairhaven, MA 02719. The NPI number 1902817299 was assigned on August 11, 2006 and the record was last updated on October 28, 2013.

184 Main LLC lists a license in the registry: #0646 (MA) for Skilled Nursing Facility. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Paula Reid, Controller.

Frequently asked questions

What is the NPI number of 184 Main LLC?

The NPI number is 1902817299.

What is the phone number of 184 Main LLC?

The phone number listed for the practice location is (508) 997-3193.

Where is 184 Main LLC located?

184 Main Street, Fairhaven, MA 02719.

What is the taxonomy code for 184 Main LLC?

The primary taxonomy code is 314000000X – Skilled Nursing Facility; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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