NPIMap

Organization Active NPI

Varnum Ops LLC

  • Skilled Nursing Facility
  • Lowell, MA
National Provider Identifier
1417675273
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
VARNUM OPS LLC
Practice address
476 Varnum Ave
Lowell, MA 01854-2122
Phone
(347) 609-3119
NPI assigned
Aug 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Seth Probst
Title
Managing Member
Phone
(347) 773-6070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

476 Varnum Ave
Lowell, MA 01854-2122

Mailing address

476 Varnum Ave
Lowell, MA 01854-2122
Phone (347) 773-6070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220912000190 MA Part A Provider - Skilled Nursing Facility 4688059751 Practice locations: Lowell, MA

Skilled nursing facility certification: CCN 225458

Legal name
VARNUM OPS LLC
Doing business as
FAIRHAVEN HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1990
Last certification
Oct 23, 2024
Beds
169
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Prime Healthcare
Organization structure
LLCProprietary
Incorporated
Dec 29, 2021 in MA
Enrollment address
476 Varnum Ave
Lowell, MA 01854-2122
Nursing home name
FAIRHAVEN HEALTHCARE CENTER
Affiliated entity
LME FAMILY HOLDINGS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Fairhaven Healthcare CenterCCN 225458 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 1, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
169128.5 residents per day on average
Chain
Lme Family Holdings15 facilities in the chain
Penalties (3 years)
1Fines totaling $15,030

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
ML Family Tree Trust Organization, Lawrence, NY 5% Or Greater Indirect Ownership Interest Aug 1, 2022 33.33%
Deborah L Schloss Individual Other Aug 1, 2022
Ephram M Lahasky Individual Operational/Managerial ControlManager of Lme Family Holdings L Aug 1, 2022 33.33%
Seth Probst Individual 5% Or Greater Direct Ownership Interest Aug 1, 2022 14.58%
Operational/Managerial Control Aug 1, 2022 14.58%
Lme Family Holdings LLC Organization, Lawrence, NY LLC 5% Or Greater Direct Ownership Interest Aug 1, 2022 33.33%
Operational/Managerial Control Aug 1, 2022 33.33%
Sarah Probst Individual 5% Or Greater Direct Ownership Interest Aug 1, 2022 14.58%
Operational/Managerial Control Aug 1, 2022 14.58%
Shmuel E Hirsch Individual 5% Or Greater Direct Ownership Interest Aug 1, 2022 29.17%
Operational/Managerial Control Aug 1, 2022 29.17%
Nisson Hirsch Individual 5% Or Greater Direct Ownership Interest Aug 1, 2022 8.33%
Operational/Managerial Control Aug 1, 2022 8.33%
Michael Takesian Individual Contracted Managing EmployeeAdministrator Aug 1, 2022

Facilities with the same owner 29

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

View all 29

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1417675273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 VARNUM AVE",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018542122",
            "telephone_number": "347-773-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 VARNUM AVE",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018542122",
            "telephone_number": "347-609-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VARNUM OPS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-18",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "PROBST",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "347-773-6070"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.