OrganizationActive
Fairview Health of Southport, LLC
NPI 1811087018 · Skilled Nursing Facility · Southport, CT
Provider details
- NPI number
- 1811087018
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Timothy Dolce, Controller(203) 259-7894
- License
- 2307-C (CT)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
930 Mill Hill Ter
Southport, CT 06890-1265
Phone: (203) 259-7894
Fax: (203) 254-3720
Street-level locationGet directions
Mailing address
930 Mill Hill Ter
Southport, CT 06890-1265
Registry dates
- Enumerated
- 2006-10-16
- Last updated
- 2012-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.