Fairway Community Home

LBN: Bayou Region Supports & Services Center
Fairway Community Home is an health care organization with primary practice located at 690 E 1St St , Thibodaux LA 70301-3546. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Bayou Region Supports & Services Center can be contacted via phone (980) 449-5181, or through Folse, Janelle via phone (985) 449-5181.

Contact Information

Primary practice address
690 E 1St St Thibodaux LA 70301-3546
Fax: (985) 449-5198
Website:
Authorized official contact:
Name: Folse, Janelle

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 1024 Louisiana

Profile Details

NPI number 1730348608
LBN Legal business name Bayou Region Supports & Services Center
DBA Doing business as Fairway Community Home
Authorized official Folse, Janelle
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2008
Last updated Oct 20th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730348608 NPPES
Louisiana MEDICAID 1312428

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