NPIMap

Organization Active NPI

Fair Haven Assisted Living (Special Care

  • Assisted Living Facility
  • Irondale, AL
National Provider Identifier
1619575792
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
FAIR HAVEN ASSISTED LIVING (SPECIAL CARE
Practice address
1424 Montclair Rd
Irondale, AL 35210-2208
Phone
(205) 956-4150
NPI assigned
Oct 12, 2020
Last updated
Oct 12, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
METHODIST HOME FOR THE AGINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Authorized official

Name
Regina T Lawler
Title
VP & Director, Administrative Serv
Phone
(205) 951-2442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

1424 Montclair Rd
Irondale, AL 35210-2208

Mailing address

1520 Cooper Hill Rd
Irondale, AL 35210-2303
Phone (205) 951-2442

National Provider Directory

National Provider Directory
Tax ID family
Wesley Place on Honeysuckle Scalf7 organizations share this tax ID, including this one
Part of
Wesley Place on Honeysuckle Scalf

Other organizations with this tax ID 6

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": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1619575792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 COOPER HILL RD",
            "city": "IRONDALE",
            "state": "AL",
            "postal_code": "352102303",
            "telephone_number": "205-951-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 MONTCLAIR RD",
            "city": "IRONDALE",
            "state": "AL",
            "postal_code": "352102208",
            "telephone_number": "205-956-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIR HAVEN ASSISTED LIVING (SPECIAL CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "METHODIST HOME FOR THE AGING",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-09",
        "status": "A",
        "authorized_official_last_name": "LAWLER",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VP & DIRECTOR, ADMINISTRATIVE SERV",
        "authorized_official_telephone_number": "205-951-2442"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irondale, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.