Fairway Park Retirement Facility, Corp.
Organization Active NPI Assisted Living Facility · Village of Palmetto Bay, FL
NPI 1740430909 · NPPES record last updated Sep 24, 2008
Key facts
- NPI
- 1740430909
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- 8673 (FL)
- Legal business name
- FAIRWAY PARK RETIREMENT FACILITY, CORP.
- Practice address
- 16360 SW 92ND CT
Village of Palmetto Bay, FL 33157-3460 - Phone
- (786) 286-4484
- NPI assigned
- Sep 24, 2008
- Organization subpart
- No
Authorized official
- Name
- Marie Regnier
- Title
- President
- Phone
- (786) 286-4484
Subparts reporting this organization as parent 1
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Fairway Park Retirement Facility Corp
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 10692 | FL | |
| Assisted Living Facility | 310400000X | 8673 | FL | Yes |
Addresses
Primary practice location
16360 SW 92ND CT
Village of Palmetto Bay, FL 33157-3460
Mailing address
16360 SW 92ND CT
Village of Palmetto Bay, FL 33157-3460
Phone (786) 286-4484
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142538200 | Medicaid | FL | |
| 142405000 | Medicaid | FL |
Other providers in Village of Palmetto Bay, FL
- Patricia Beatriz Diaz
- Madelyn Dones
- Carolina Escobio
- Susan Evans
- Stephen E Ezell
- Michael D Feldman
- Catherine Feliciano
- Aurelio Jose Fernandez
- Mercedes Fernandez
- Flicker Paul Goldberg & Keller, M.D., P.a.
All providers in Village of Palmetto Bay, FL · Assisted Living Facility in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.