NPIMap

Organization Active NPI

Merrimac Medical Investors, LLC

Doing business as Fairview Nursing Home

  • Nursing Facility/Intermediate Care Facility
  • Hudson, NH
National Provider Identifier
1629292727
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
30E032 Issued in NH
Legal business name
MERRIMAC MEDICAL INVESTORS, LLC
Doing business as
Fairview Nursing Home
Practice address
203 Lowell Rd
Hudson, NH 03051-4909
Phone
(603) 882-5261
Fax
(603) 598-3896
NPI assigned
Apr 12, 2007
Organization subpart
Yes
Parent organization
FG HEALTHCARE PROPERTIES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Authorized official

Name
Mr. Timothy J Beaulieu
Title
President
Phone
(407) 876-3836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 30E032 NH Primary

Addresses

Primary practice location

203 Lowell Rd
Hudson, NH 03051-4909

Mailing address

203 Lowell Rd
Hudson, NH 03051-4909
Phone (603) 882-5261

Other identifiers 1

IdentifierTypeStateIssuer
30104983MedicaidNH

Other names 1

  • Fairview Nursing Home Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070906000205 NH Part A Provider - Skilled Nursing Facility 8325131444 Practice locations: Hudson, NH

Skilled nursing facility certification: CCN 305100

Legal name
MERRIMAC MEDICAL INVESTORS, LLC
Doing business as
FAIRVIEW NURSING HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 1, 2007
Last certification
Nov 15, 2024
Beds
101
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Mar 5, 2007 in NH
Enrollment address
203 Lowell Rd
Hudson, NH 03051-4909
Nursing home name
FAIRVIEW NURSING HOME

Care Compare: Nursing home

Medicare Care Compare
Listed as
Fairview Nursing HomeCCN 305100 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Nov 1, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10193.6 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
30D0084884Merrimac Medical Investors, LLC203 Lowell Rd, Hudson, NH 03051Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Rebekah Jabaley Individual 5% Or Greater Indirect Ownership Interest Jul 21, 2020 22.5%
FG Healthcare Properties, LLC Organization, Franklin, TN Created for acquisition, LLC 5% Or Greater Direct Ownership Interest May 1, 2007 32.5%
Steve Pazulski Individual 5% Or Greater Indirect Ownership Interest Jun 1, 2019 10%
W-2 Managing EmployeeCeo Nov 7, 2018 100%
Aubrey Preston Individual 5% Or Greater Direct Ownership Interest May 1, 2007 22.5%
Corporate Director May 1, 2007
Timothy Beaulieu Individual 5% Or Greater Direct Ownership Interest May 1, 2007 22.5%
Corporate Director May 1, 2007
FG Healthcare Services, LLC Organization, Franklin, TN LLC Operational/Managerial Control May 1, 2007
Fred Lester Individual 5% Or Greater Direct Ownership Interest May 1, 2007 22.5%
Corporate Director May 1, 2007

Practitioners & affiliated clinicians

Practitioners 2

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

Affiliated clinicians 6

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": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1629292727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 LOWELL RD",
            "city": "HUDSON",
            "state": "NH",
            "postal_code": "030514909",
            "telephone_number": "603-882-5261",
            "fax_number": "603-598-3896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 LOWELL RD",
            "city": "HUDSON",
            "state": "NH",
            "postal_code": "030514909",
            "telephone_number": "603-882-5261",
            "fax_number": "603-598-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRIMAC MEDICAL INVESTORS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FG HEALTHCARE PROPERTIES, LLC",
        "enumeration_date": "2007-04-12",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "BEAULIEU",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-876-3836",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NH",
            "license": "30E032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30104983",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairview Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hudson, NH

Sources for this page

Verify at the official NPI Registry.