FAIRFIELD ESTATES, LLC


Address: 315 North Market Street, Fairfield, IL 62837
Phone: 6188425875

FAIRFIELD ESTATES, LLC (NPI# 1770789778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770789778
Entity Type Organization
Organization Name FAIRFIELD ESTATES, LLC
Practice Address 315 North Market Street
Fairfield
IL 62837
Mailing Address 78 Centennial Loop
Eugene
OR 97401-7900
Practice Telephone 6188425875
Practice Fax Number 6188425870
Mailing Telephone 5417473373
Mailing Fax Number 5417470673
Enumeration Date 2007-06-26
Last Update Date 2008-06-24
Authorized Official Name MR. JOHN HOLTZ (CONTROLLER)
Authorized Official Telephone 5417473373
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 305S00000X Point of Service Managed Care Organizations

Other Data Sources

Entity Type Entity Name Entity Address
New York State Corporations FAIRFIELD ESTATES, LLC 1967 Wehrle Drive, Suite 1-086, Buffalo, New York 14221
Connecticut Business Registrations FAIRFIELD ESTATES, LLC 534 Grand Street, Brooklyn, NY 11211

Office Location

Street Address 315 NORTH MARKET STREET
City FAIRFIELD
State IL
Zip Code 62837

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881294619 Katelyn Atteberry Pharmacist 150 Commerce Drive, Fairfield, IL 62837 2020-10-30
1265894521 Rebecca August Social Worker 506 Nw 9th St, Fairfield, IL 62837 2016-03-25
1063814259 Kathie L Hill Social Worker 303 Nw 11th St., Fairfield Memorial Hospital, Fairfield, IL 62837 2014-09-19
1912206731 Way-fair Nursing and Rehabilitation Center, LLC Skilled Nursing Facility 305 Northwest 11th Street, Fairfield, IL 62837 2011-03-18
1063600773 Alvin Ewing Counselor 407 N. Basin Road, Fairfield, IL 62837 2007-10-09
1417145129 Gilbert Tennyson Counselor 407 North Basin Rd, Fairfield, IL 62837 2007-10-09
1972791689 Clint Harvey Counselor 407 North Basin Road, Fairfield, IL 62837 2007-10-09
1346382207 Robert E Lowry Counselor 407 N Basin Rd., Fairfield, IL 62837 2007-02-13
1790840825 Bradley D Kramer Dentist 301 Nw 11th Street, Suite 212, Fairfield, IL 62837 2006-12-27
1760558316 David M Link Dentist 301 Northwest Eleventh St, Fairfield, IL 62837 2006-11-27
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Taxonomy Information

Taxonomy Code 305S00000X
Grouping Managed Care Organizations
Classification Point of Service

Taxonomy Definition

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1942685573 Connecticut Companions and Homecare Services LLC. Point of Service 2490 Black Rock Tpke, Fairfield, CT 06825-2400 2015-07-24
1164756094 Midwest Care Fairfield Point of Service 315 Market Ave, Fairfield, IL 62837-2611 2009-09-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1659998326 Balanced Health Point of Service 140 W 62nd St, Chicago, IL 60621-3809 2020-06-29
1447872676 Vistalink Health Group, LLC Point of Service 2549 Waukegan Rd Ste 531, Bannockburn, IL 60015-1569 2020-05-11
1700419223 Mckenna Counseling LLC Point of Service 3526 N California Ave Ste 101, Peoria, IL 61603-1143 2020-02-13
1790257723 Epic Commiunity Development Center, Incorported Point of Service 18300 Dixie Hwy Fl 2, Homewood, IL 60430-3235 2019-01-02
1184192643 Luann Bauer Point of Service 63 N Williams St, Crystal Lake, IL 60014-4443 2018-11-02
1033590427 Interstate Phlebotomy Services Inc Point of Service 3200 Drover Ln, Darien, IL 60561-1642 2015-06-11
1699182642 In Home Counseling for Seniors Point of Service 2318 N Lowell Ave, Chicago, IL 60639-3520 2014-07-22
1972934610 Center for Vitality and Balance, LLC Point of Service 1280 Iroquois Ave Ste 404, Naperville, IL 60563-8570 2013-12-05
1720419732 The Excellence Group, LLC Point of Service 1102 E 46th St Unit 202, Chicago, IL 60653-4435 2013-12-02
1457781916 Applied Behavior Interventions Point of Service 219 N Oak Park Ave, Oak Park, IL 60302-2151 2013-11-20
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Competitor

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City FAIRFIELD
Zip Code 62837

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Dataset Information

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.

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