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FAIRGREEN ASSISTED LIVING INC.
NPI 1184059750
Assisted Living Facility in New Smyrna Beach, FL

Active since September 13, 2013
1150 WAYNE AVE., NEW SMYRNA BEACH, FL 32168(386) 428-3018(386) 428-7485 Get Directions Write a Review

NPPES record last updated: September 13, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Fairgreen Assisted Living Inc. NPPES

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

FAIRGREEN ASSISTED LIVING INC. (NPI 1184059750) is a healthcare organization registered as an assisted living facility in New Smyrna Beach, Florida and active in the NPI registry since September 2013. The organization lists Jesusa H. Kepler, Owner/administrator, as its authorized official.

NPPES Registry Identity

NPI1184059750
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameFAIRGREEN ASSISTED LIVING INC.
Location Address1150 WAYNE AVE.New Smyrna Beach, FL 32168
Mailing Address1150 Wayne AveNew Smyrna Beach, FL 32168-6132 · (386) 428-3018 · Fax (386) 428-7485
Phone(386) 428-3018
Fax(386) 428-7485
Organization SubpartNo
Authorized OfficialJesusa H. KeplerOwner/administrator · (386) 428-3018
Enumeration DateSeptember 13, 2013
✔ NPI 1184059750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in FL · AL11072
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
1150 WAYNE AVE., New Smyrna Beach, FL 32168
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Other Identifiers 1

Medicaid1150FL

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 Fairgreen Assisted Living Inc.'s NPI number?

The NPI number for Fairgreen Assisted Living Inc. is 1184059750. It was assigned to this organization in the NPPES registry on September 13, 2013.

Where is Fairgreen Assisted Living Inc. located?

Fairgreen Assisted Living Inc. is located at 1150 Wayne Ave., New Smyrna Beach, FL 32168. The listed phone number is (386) 428-3018.

What is Fairgreen Assisted Living Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Fairgreen Assisted Living Inc. was last updated on September 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.