Organization Active NPI

Fairhaven Nursing and Rehab LLC

  • Skilled Nursing Facility
  • Fairhaven, MA
National Provider Identifier
1780504076
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FAIRHAVEN NURSING AND REHAB LLC
Practice address
184 Main St
Fairhaven, MA 02719-3259
Phone
(508) 997-3193
Fax
(508) 564-7412
NPI assigned
Jul 17, 2026
Last updated
Jul 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Authorized official

Name
Avrohom Rotberg
Title
President
Phone
(732) 600-3946

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

184 Main St
Fairhaven, MA 02719-3259

Mailing address

400 Rella Blvd Ste 200
Montebello, NY 10901-4239
Phone (732) 600-3964

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1784246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1780504076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RELLA BLVD STE 200",
            "city": "MONTEBELLO",
            "state": "NY",
            "postal_code": "109014239",
            "telephone_number": "732-600-3964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 MAIN ST",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027193259",
            "telephone_number": "508-997-3193",
            "fax_number": "508-564-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRHAVEN NURSING AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-17",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "ROTBERG",
        "authorized_official_first_name": "AVROHOM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-600-3946"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhaven, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.