Our Lady's Haven of Fairhaven, Inc.
NPI 1073508883ActiveOrganization· Skilled Nursing Facility· Fairhaven, MA
Skilled Nursing Facility in Fairhaven, Massachusetts, registered in NPPES in September 2005. The authorized official on file is Joanne Roque, Ceo. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1073508883 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 19, 2005 |
| Last updated in NPPES | Jan 11, 2022 |
| Certified by provider | Jan 11, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 887 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (MA) |
|---|
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