Fairlife Healthcare, Llc

LBN: Fairlife Healthcare, Llc
Fairlife Healthcare, Llc is an health care organization with primary practice located at 150 Hidden Hill Cir , Odenton MD 21113-4015. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Fairlife Healthcare, Llc can be contacted via phone (301) 326-6103, or through Klu, Kofi via phone (301) 326-6103.

Contact Information

Primary practice address
150 Hidden Hill Cir Odenton MD 21113-4015
Phone: (301) 326-6103
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Klu, Kofi
Phone: (301) 326-6103

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X R4141 Maryland

Profile Details

NPI number 1801384979
LBN Legal business name Fairlife Healthcare, Llc
DBA Doing business as
Authorized official Klu, Kofi
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2018
Last updated Dec 23rd, 2021 - about 3 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 1801384979 NPPES
Maryland MEDICAID 5224014900

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