Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fairgreen Assisted Living Inc

Organization Assisted Living Facility · NPI 1184059750

Fairgreen Assisted Living Inc is an Assisted Living Facility in New Smyrna Beach, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1150 Wayne Ave
New Smyrna Beach, FL 32168
Phone: (386) 428-3018
Fax: (386) 428-7485
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence AL11072 (FL)

Record details

NPI number1184059750
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jesusa Kepler — Owner/Administrator · (386) 428-3018
NPI enumeratedSeptember 13, 2013
Last updated in NPPESSeptember 13, 2013
Mailing address1150 Wayne Ave, New Smyrna Beach, FL 32168-6132

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