Fairway Home Care Llc

LBN: Fairway Home Care Llc
Fairway Home Care Llc is an health care organization with primary practice located at 534 N Liberty St , Winston Salem NC 27101-2911. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Fairway Home Care Llc can be contacted via phone (336) 724-3390, or through Younger, Antonio via phone (336) 724-3390.

Contact Information

Primary practice address
534 N Liberty St Winston Salem NC 27101-2911
Fax: (336) 724-3392
Website:
Authorized official contact:
Name: Younger, Antonio

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X HC1727 North Carolina

Profile Details

NPI number 1841336104
LBN Legal business name Fairway Home Care Llc
DBA Doing business as
Authorized official Younger, Antonio
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
Last updated Aug 22nd, 2020 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1841336104 NPPES
North Carolina MEDICAID 3409282
North Carolina MEDICAID 6600620

Popular Providers