Fair Havens Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1147096 Issued in FL

Legal business name

FAIR HAVENS CENTER, LLC

Practice address

201 Curtiss Pkwy
Miami Springs, FL 33166-5222

Phone

(305) 887-1565

NPI assigned

Mar 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Philip Esformes

Title

Owner

Phone

(305) 887-1565

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083674568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CURTISS PKWY",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331665222",
            "telephone_number": "305-887-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CURTISS PKWY",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331665222",
            "telephone_number": "305-887-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIR HAVENS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ESFORMES",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-887-1565",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1147096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Miami Springs, FL
• Providers in Miami Springs, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.