FAIRCHILD HOMES (NPI# 1609052182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609052182 |
| Entity Type | Organization |
| Organization Name | FAIRCHILD HOMES |
| Practice Address |
7053 Jeffreys Creek Ln Raleigh NC 27616-5552 |
| Practice Telephone | 9193763798 |
| Practice Fax Number | 9193763798 |
| Mailing Telephone | 9193763798 |
| Mailing Fax Number | 9193763798 |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-01-15 |
| Authorized Official Name | MISS SOCORRO GARCIA (OWNER) |
| Authorized Official Telephone | 9192786943 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 347C00000X | Private Vehicle | MH-092-696 | NC | Transportation Services |
| N | 385H00000X | Respite Care | MHL-092-696 | NC | Respite Care Facility |
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | MHL-092-696 | NC | Residential Treatment Facilities |
| Street Address |
7053 JEFFREYS CREEK LN |
| City | RALEIGH |
| State | NC |
| Zip Code | 27616-5552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740768225 | Iam Healthcare, Pllc | Family Medicine | 5509 Cumberland Plain Dr, Raleigh, NC 27616 | 2018-08-06 |
| 1841791985 | George Solomon Edmond Sr. | Social Worker | 2700 Sumner Bldv Ste 142, Raleigh, NC 27616 | 2018-02-23 |
| 1366985194 | Kavita Joshi | Contractor | 3001 Spring Forest Road, Raleigh, NC 27616 | 2016-11-28 |
| 1447701701 | Nathaniel Byrams | Durable Medical Equipment & Medical Supplies | 5951 Poyner Village Parkway, Suite 101, Raleigh, NC 27616 | 2016-10-20 |
| 1760831424 | Courtney Lee Smith | Speech-Language Pathologist | 4804 Sinclair Dr, Raleigh, NC 27616 | 2016-06-03 |
| 1780060541 | Sharon Sims Smith | Pharmacist | 4901 Alenja Lane, Raleigh, NC 27616 | 2015-08-04 |
| 1427462035 | Cara Ellen Finn | Optometrist | 7500 Ramble Way Ste 101, Raleigh, NC 27616 | 2014-06-12 |
| 1609297209 | Vetted International, Ltd. | Ambulance | 6880 Perry Creek Road, Raleigh, NC 27616 | 2013-12-27 |
| 1437588324 | Lauren Primato | Counselor | 8645 Boysenberry Ln, Raleigh, NC 27616 | 2013-11-01 |
| 1275968729 | Rebecca Esliker | Counselor | 3200 Spring Forest Rd, Suite 214, Raleigh, NC 27616 | 2013-09-03 |
| Find all providers in zip 27616 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
| 1366983256 | C Walker Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3925 Falls River Ave, Raleigh, NC 27614-7413 | 2017-03-13 |
| 1427429018 | Falonna Graham | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2224 Valley Edge Dr Unit 102, Raleigh, NC 27614-7363 | 2015-10-08 |
| 1871919548 | Tlc Operations, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1931 Melrose Valley Cir, 1511, Raleigh, NC 27603-6060 | 2014-03-05 |
| 1922430172 | Residential Support Services of Wake County, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 408 Hailey Dr, Raleigh, NC 27606-2429 | 2013-07-30 |
| 1396177549 | Residential Support Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3416 Atlantic Ave, Raleigh, NC 27604-1643 | 2013-07-30 |
| 1598197741 | Residential Support Services of Wake County, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 300 E Millbrook Rd, Raleigh, NC 27609-4473 | 2013-07-30 |
| 1053750828 | Omni Visions, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6201 Battle Bridge Rd, Raleigh, NC 27610-6201 | 2013-06-14 |
| 1730460452 | Rha Health Services Nc, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3316 Barker Pl, Raleigh, NC 27604-2454 | 2011-09-08 |
| 1558691360 | Summit Hills, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7213 Sextons Creek Dr, Raleigh, NC 27614-7198 | 2009-12-30 |
| Find all providers in RALEIGH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.