OrganizationActive
Fairhavens Home Care
NPI 1275944936 · Pediatric Skilled Nursing Facility · Brooklyn Park, MN
Provider details
- NPI number
- 1275944936
- Entity type
- Organization
- Primary specialty
- Pediatric Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Patience Okafor, Administrator(763) 222-4747
- License
- 366358 (MN)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(76/100 index)
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
2608 87th Trl N
Brooklyn Park, MN 55443-3742
Phone: (763) 222-4747
Street-level locationGet directions
Mailing address
2608 87th Trl N
Brooklyn Park, MN 55443-3742
Registry dates
- Enumerated
- 2014-05-15
- Last updated
- 2014-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.