Fairview Nursing Home Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

30E032 Issued in NH

Legal business name

FAIRVIEW NURSING HOME INC

Practice address

203 Lowell Rd
Hudson, NH 03051-4909

Phone

(603) 882-5261

Fax

(603) 598-3896

NPI assigned

Sep 28, 2005

Last updated

Aug 22, 2020By 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

Mr. Brian C Courville, ADMINISTRATOR

Title

Administrator

Phone

(603) 882-5261

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1127865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659368322",
    "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": "FAIRVIEW NURSING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COURVILLE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "603-882-5261",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "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": "30E032",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nursing Facility/Intermediate Care Facility in Hudson, NH
• Providers in Hudson, NH by specialty
• Nursing Facility/Intermediate Care Facility in New Hampshire

• 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.