Organization Active NPI

Fairway Chalet, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Tarpon Springs, FL
National Provider Identifier
1043920754
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
FAIRWAY CHALET, INC.
Practice address
905 Virginia Ave
Tarpon Springs, FL 34689-2677
Phone
(727) 934-4970
NPI assigned
Dec 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Danilo Labios
Title
Presidebt
Phone
(727) 934-4970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

905 Virginia Ave
Tarpon Springs, FL 34689-2677

Mailing address

905 Virginia Ave
Tarpon Springs, FL 34689-2677

Other names 1

  • Fairway Chalet Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fairway Chalet2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1043920754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 VIRGINIA AVE",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346892677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 VIRGINIA AVE",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346892677",
            "telephone_number": "727-934-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRWAY CHALET, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-03",
        "status": "A",
        "authorized_official_last_name": "LABIOS",
        "authorized_official_first_name": "DANILO",
        "authorized_official_title_or_position": "PRESIDEBT",
        "authorized_official_telephone_number": "727-934-4970"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairway Chalet",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tarpon Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.