Fairway Chalet, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL7276 Issued in FL

Legal business name

FAIRWAY CHALET, INC.

Practice address

905 Virginia Ave
Tarpon Springs, FL 34689-2677

Phone

(727) 934-4970

NPI assigned

Dec 12, 2008

Organization subpart

No

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

Authorized official

Name

Danilo Labios

Title

President

Phone

(727) 934-4970

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Fairway Chalet2 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.

• Fairway Chalet, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Tarpon Springs, FL
  • NPI 1043920754
  NPD tax ID

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564012800000",
    "number": "1861637399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 VIRGINIA AVE",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346892677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 VIRGINIA AVE",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346892677",
            "telephone_number": "727-934-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRWAY CHALET, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-12",
        "last_updated": "2019-07-25",
        "status": "A",
        "authorized_official_last_name": "LABIOS",
        "authorized_official_first_name": "DANILO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-934-4970"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL7276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009186900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelli Everton
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• Laura Karelus Fafrak, M.S.,CCC-SLP
• Fairway Chalet Residence Alf LLC
• Fairway Chalet, Inc.
• Faklis Orthopedic Services
• Vasile G Faklis, CO, BOCO
• Cary Anne Falconer, MSPAS, PA-C
• Family Behavioral Services
• Jamelly Fantauzzi-Aponte

• Assisted Living Facility in Tarpon Springs, FL
• Providers in Tarpon Springs, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.