Our Lady's Haven of Fairhaven, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

887 Issued in MA

Legal business name

OUR LADY'S HAVEN OF FAIRHAVEN, INC.

Practice address

71 Center St
Fairhaven, MA 02719-3822

Phone

(508) 999-4561

Fax

(508) 997-0254

NPI assigned

Sep 19, 2005

Last updated

Jan 11, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joanne Roque

Title

Ceo

Phone

(508) 679-8154

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073508883. Details of each certification follow.

• CCN 225485 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 225485

Legal name

OUR LADYS HAVEN OF FAIRHAVEN, INC.

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 1, 1990

Last certification

Oct 29, 2024

Beds

117

Ownership / control type

Church Related

Organization structure

CorporationNon-profit

Incorporated

Apr 5, 1951 in MA

Enrollment address

71 Center St
Fairhaven, MA 02719-3822

Nursing home name

OUR LADYS HAVEN OF FAIRHAVEN INC

Affiliated entity

DIOCESAN HEALTH FACILITIES

Listed as

Our Ladys Haven of Fairhaven IncCCN 225485 · All quality measures

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

5 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Church related

Certified

Jul 1, 1990

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

11779.3 residents per day on average

Chain

Diocesan Health Facilities5 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Curtis J. Mello, MD

  • Pulmonary Disease Physician
  • North Dartmouth, MA
  • NPI 1124080312

  Contracted Managing Employee

  CMS ownership

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Sacred Heart Home

  • Skilled Nursing Facility
  • New Bedford, MA
  • NPI 1174518971

  Diocesan Health Facilities

  CMS ownership

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Caitlin Sousa

  • Physical Therapy Assistant
  • Taunton, MA
  • NPI 1073040341
  NPD
• Curtis J. Mello, MD

  • Pulmonary Disease Physician
  • North Dartmouth, MA
  • NPI 1124080312
  NPD (past)
• Irving Raul Restituyo, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • New Bedford, MA
  • NPI 1093876906
  NPD (past)
• Efrain A Torres, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • New Bedford, MA
  • NPI 1003859265
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Curtis J. Mello, MD

  • Pulmonary Disease Physician
  • North Dartmouth, MA
  • NPI 1124080312

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1073508883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 CENTER ST",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027193822",
            "telephone_number": "508-999-4561",
            "fax_number": "508-997-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 CENTER ST",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027193822",
            "telephone_number": "508-999-4561",
            "fax_number": "508-997-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LADY'S HAVEN OF FAIRHAVEN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "ROQUE",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "508-679-8154"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0904929",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Fairhaven, MA
• Providers in Fairhaven, MA by specialty
• Skilled Nursing Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.