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Fairhaven II Quality Assisted Living

NPI 1134243892ActiveOrganization· Assisted Living Facility· Clovis, NM

Assisted Living Facility in Clovis, New Mexico, registered in NPPES in March 2007. The authorized official on file is Daniel J. Stoddard, Owner.

Overview

NPI1134243892
StatusActive
Entity typeOrganization
NPI issuedMar 19, 2007
Last updated in NPPESAug 22, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Assisted Living Facility Primary310400000X5871NM

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Assisted Living Facility providers in Clovis

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