Fairgreen Assisted Living Inc.
NPI 1184059750 · Assisted Living Facility · New Smyrna Beach, FL
Fairgreen Assisted Living Inc. is a Assisted Living Facility organization in New Smyrna Beach, FL (NPI 1184059750).
Provider details
- NPI number
- 1184059750
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jesusa Kepler, Owner/Administrator(386) 428-3018
- License
- AL11072 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-09-13
- Last updated
- 2013-09-13
Frequently asked questions
- What is Fairgreen Assisted Living Inc.'s NPI number?
- Fairgreen Assisted Living Inc.'s National Provider Identifier (NPI) is 1184059750, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fairgreen Assisted Living Inc.?
- Fairgreen Assisted Living Inc. is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Fairgreen Assisted Living Inc. located?
- Fairgreen Assisted Living Inc.'s practice location on file with NPPES is 1150 Wayne Ave., New Smyrna Beach, FL 32168.
- What is Fairgreen Assisted Living Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Fairgreen Assisted Living Inc. is (386) 428-3018.
- Who is the authorized official for Fairgreen Assisted Living Inc.?
- The authorized official listed on Fairgreen Assisted Living Inc.'s NPPES record is Jesusa Kepler, Owner/Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fairgreen Assisted Living Inc.'s NPI active?
- Yes — Fairgreen Assisted Living Inc.'s NPI (1184059750) is active in the NPPES registry as of the last update on 2013-09-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.