FAIR HAVENS, INC.
NPI 1003205667
Skilled Nursing Facility in West Brookfield, MA

Active since January 20, 2015CLIA 22D0069452 · Waiver
47 E MAIN ST, WEST BROOKFIELD, MA 01585(508) 867-7716 Get Directions Write a Review

NPPES record last updated: January 20, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Fair Havens, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAIR HAVENS, INC. (NPI 1003205667) is a healthcare organization registered as a skilled nursing facility in West Brookfield, Massachusetts and active in the NPI registry since January 2015. The organization holds a CLIA Waiver certificate valid through May 13, 2028 and lists Angela Bovill, President, as its authorized official.

NPPES Registry Identity

NPI1003205667
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameFAIR HAVENS, INC.
Location Address47 E MAIN STWest Brookfield, MA 01585-2906
Mailing Address14 E Worcester St, Suite 300Worcester, MA 01604-3612
Organization SubpartNo
Authorized OfficialAngela BovillPresident · (774) 243-3932
Enumeration DateJanuary 20, 2015
NPI 1003205667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

47 E MAIN ST, West Brookfield, MA 01585

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D0069452

Fairhavens Dba Quaboag Rehabilitation And Skilled Care Center · West Brookfield, MA
Active · expires May 13, 2028
CLIA Number22D0069452
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMay 14, 2026
Certificate Expiration DateMay 13, 2028
Laboratory DirectorLori Webb
Laboratory Phone(508) 867-7716
Laboratory LocationFairhavens Dba Quaboag Rehabilitation And Skilled Care Center47 East Main Street, West Brookfield, MA 01585
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
47 E MAIN ST
WEST BROOKFIELD, MA 01585
Occupational Therapist
47 E MAIN ST
WEST BROOKFIELD, MA 01585
Skilled Nursing Facility
47 E MAIN ST
WEST BROOKFIELD, MA 01585
Occupational Therapist
47 E MAIN ST
WEST BROOKFIELD, MA 01585
Speech-Language Pathologist
47 E MAIN ST
WEST BROOKFIELD, MA 01585
Occupational Therapy Assistant
47 E MAIN ST
WEST BROOKFIELD, MA 01585
Skilled Nursing Facility
47 E MAIN ST
WEST BROOKFIELD, MA 01585

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fair Havens, Inc.'s NPI number?

The NPI number for Fair Havens, Inc. is 1003205667. It was assigned to this organization in the NPPES registry on January 20, 2015.

Where is Fair Havens, Inc. located?

Fair Havens, Inc. is located at 47 E Main St, West Brookfield, MA 01585. The listed phone number is (508) 867-7716.

What is Fair Havens, Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Fair Havens, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D0069452) is associated with this NPI, valid through May 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fair Havens, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Fair Havens, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fair Havens, Inc. was last updated on January 20, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.