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

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Fairway Park Retirement Facility Corp (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
142538200MedicaidFL
142405000MedicaidFL

Other providers in Village of Palmetto Bay, FL

All providers in Village of Palmetto Bay, FL · Assisted Living Facility in Florida

Sources for this page

Verify at the official NPI Registry.