Fairsky Foundation
LBN: Fairsky Foundation
Fairsky Foundation is an health care organization with primary practice located at 23231 Woodward Ave , Ferndale MI 48220-1361. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty.
Fairsky Foundation can be contacted via phone (248) 581-8777, or through St. John, David via phone (248) 581-8777.
Contact Information
Primary practice address
23231 Woodward Ave
Ferndale MI 48220-1361
Phone: (248) 581-8777
Fax: (888) 975-9374
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X |
Profile Details
| NPI number | 1033595665 |
|---|---|
| LBN Legal business name | Fairsky Foundation |
| DBA Doing business as | |
| Authorized official | St. John, David PHD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 5th, 2015 |
| Last updated | Aug 23rd, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033595665 | NPPES |
| Michigan | MEDICAID | CV0058149 |
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