Organization Active NPI

Fairway Park Retirement Facility, Corp.

  • Assisted Living Facility
  • Village of Palmetto Bay, FL
National Provider Identifier
1740430909
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
8673 Issued in 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
Last updated
Sep 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Authorized official

Name
Marie Regnier
Title
President
Phone
(786) 286-4484

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 10692 FL
Assisted Living Facility 310400000X 8673 FL Primary

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

National Provider Directory

National Provider Directory
Tax ID family
Fairway Park Retirement Facility Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

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.

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1740430909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16360 SW 92ND CT",
            "city": "VILLAGE OF PALMETTO BAY",
            "state": "FL",
            "postal_code": "331573460",
            "telephone_number": "786-286-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16360 SW 92ND CT",
            "city": "VILLAGE OF PALMETTO BAY",
            "state": "FL",
            "postal_code": "331573460",
            "telephone_number": "786-286-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRWAY PARK RETIREMENT FACILITY, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "REGNIER",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-286-4484"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "10692",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "8673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Village of Palmetto Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.