OUR LADY'S HAVEN OF FAIRHAVEN, INC.
NPI 1073508883
Skilled Nursing Facility in Fairhaven, MA

Active since September 19, 2005CLIA 22D0725054 · Waiver
71 CENTER ST, FAIRHAVEN, MA 02719(508) 999-4561(508) 997-0254 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 11, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Our Lady's Haven Of Fairhaven, Inc. NPPES

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

OUR LADY'S HAVEN OF FAIRHAVEN, INC. (NPI 1073508883) is a healthcare organization registered as a skilled nursing facility in Fairhaven, Massachusetts and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Joanne Roque, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073508883
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameOUR LADY'S HAVEN OF FAIRHAVEN, INC.
Location Address71 CENTER STFairhaven, MA 02719-3822
Mailing Address71 Center StFairhaven, MA 02719-3822 · (508) 999-4561 · Fax (508) 997-0254
Fax(508) 997-0254
Organization SubpartNo
Authorized OfficialJoanne RoqueCeo · (508) 679-8154
Enumeration DateSeptember 19, 2005
Last NPPES UpdateJanuary 11, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2022
NPI 1073508883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MA · 887
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.
71 CENTER ST, Fairhaven, MA 02719

Other Identifiers 1

Medicaid0904929MA

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 22D0725054

Our Lady's Haven Of Fairhaven Inc · Fairhaven, MA
Active · expires Aug 31, 2026
CLIA Number22D0725054
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorCaitlin Simmons
Laboratory Phone(508) 999-4561
Laboratory LocationOur Lady's Haven Of Fairhaven Inc71 Center St, Fairhaven, MA 02719
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Occupational Therapy Assistant
71 CENTER ST
FAIRHAVEN, MA 02719
Occupational Therapy Assistant
71 CENTER ST
FAIRHAVEN, MA 02719
Occupational Therapy Assistant
71 CENTER ST
FAIRHAVEN, MA 02719

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 Our Lady's Haven Of Fairhaven, Inc.'s NPI number?

The NPI number for Our Lady's Haven Of Fairhaven, Inc. is 1073508883. It was assigned to this organization in the NPPES registry on September 19, 2005.

Where is Our Lady's Haven Of Fairhaven, Inc. located?

Our Lady's Haven Of Fairhaven, Inc. is located at 71 Center St, Fairhaven, MA 02719. The listed phone number is (508) 999-4561.

What is Our Lady's Haven Of Fairhaven, Inc.'s specialty?

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

Does Our Lady's Haven Of Fairhaven, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D0725054) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Our Lady's Haven Of Fairhaven, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Our Lady's Haven Of Fairhaven, 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 Our Lady's Haven Of Fairhaven, Inc. was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.