FAIRVIEW HEALTH OF SOUTHPORT, LLC
NPI 1811087018
Skilled Nursing Facility in Southport, CT

Active since October 16, 2006
930 MILL HILL TER, SOUTHPORT, CT 06890(203) 259-7894(203) 254-3720 Get Directions Write a Review

NPPES record last updated: October 15, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fairview Health Of Southport, Llc NPPES

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

FAIRVIEW HEALTH OF SOUTHPORT, LLC (NPI 1811087018) is a healthcare organization registered as a skilled nursing facility in Southport, Connecticut and active in the NPI registry since October 2006. The organization lists Timothy Dolce, Controller, as its authorized official.

NPPES Registry Identity

NPI1811087018
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameFAIRVIEW HEALTH OF SOUTHPORT, LLC
Location Address930 MILL HILL TERSouthport, CT 06890-1265
Mailing Address930 Mill Hill TerSouthport, CT 06890-1265 · (203) 259-7894 · Fax (203) 254-3720
Fax(203) 254-3720
Organization SubpartNo
Authorized OfficialTimothy DolceController · (203) 259-7894
Enumeration DateOctober 16, 2006
Last NPPES UpdateOctober 15, 2012
NPI 1811087018 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 CT · 2307-C
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.
930 MILL HILL TER, Southport, CT 06890

Other Identifiers 2

Medicaid000008508CT
Medicare ID-Type Unspecified07-5200

Other Providers at the Same Location NPPES 2

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

Skilled Nursing Facility
930 MILL HILL TER
SOUTHPORT, CT 06890
General Practice
930 MILL HILL TER
SOUTHPORT, CT 06890

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 Fairview Health Of Southport, LLC's NPI number?

The NPI number for Fairview Health Of Southport, LLC is 1811087018. It was assigned to this organization in the NPPES registry on October 16, 2006.

Where is Fairview Health Of Southport, LLC located?

Fairview Health Of Southport, LLC is located at 930 Mill Hill Ter, Southport, CT 06890. The listed phone number is (203) 259-7894.

What is Fairview Health Of Southport, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Fairview Health Of Southport, LLC was last updated on October 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.