FAIRFIELD I ENTERPRISES, LLC (NPI# 1124061304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124061304 |
| Entity Type | Organization |
| Organization Name | FAIRFIELD I ENTERPRISES, LLC |
| Other Organization Name | FAIRFIELD NURSING & REHABILITATION CENTER |
| Practice Address |
420 Moody St Fairfield TX 75840-3036 |
| Practice Telephone | 9033891236 |
| Practice Fax Number | 9033891241 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2015-02-06 |
| Authorized Official Name | GARY BLAKE (MANAGING MEMBER) |
| Authorized Official Telephone | 8173488841 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 102704 | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 001014428 | 05 | |
| TX | VENDOR | 005486 | 01 |
| Other Name | Type Code |
|---|---|
| Fairfield Nursing & Rehabilitation Center | Doing Business As Name - Organization |
| Street Address |
420 MOODY ST |
| City | FAIRFIELD |
| State | TX |
| Zip Code | 75840-3036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447809868 | Meghan Leigh Bostic | Occupational Therapy Assistant | 420 Moody St, Fairfield, TX 75840-3036 | 2019-09-09 |
| 1083175814 | Moriah Munoz | Occupational Therapy Assistant | 420 Moody St, Fairfield, TX 75840-3036 | 2019-03-26 |
| 1649748302 | Brenda Bloxom | Occupational Therapy Assistant | 420 Moody St, Fairfield, TX 75840-3036 | 2018-11-10 |
| 1205318359 | Carl Andrew Johnson | Physical Therapy Assistant | 420 Moody St, Fairfield, TX 75840-3036 | 2018-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811508724 | Caitlin Nicole Sieck | Physical Therapist | 375 A West Hwy 84, Fairfield, TX 75840 | 2020-08-13 |
| 1841816014 | Katie Randall | Licensed Practical Nurse | 115 Pr 1295, Fairfield, TX 75840 | 2020-06-23 |
| 1063574671 | Rural Rehab Providers, LLC | Physical Therapist | 375-a West Hwy 84, Fairfield, TX 75840 | 2006-12-14 |
| 1598854572 | Erin Maggard | Specialist | 375a W Hwy 84, Fairfield, TX 75840 | 2006-10-11 |
| 1003916453 | Brookshire Brothers Inc | Pharmacy | 300 West Hwy 84, Fairfield, TX 75840 | 2006-09-25 |
| 1003899501 | Air Evac Ems Inc | Ambulance | 160 Interstate 45 S, Fairfield, TX 75840 | 2005-11-29 |
| 1316423452 | Tonya N Basque | Nurse Practitioner | 734 W Commerce St, Fairfield, TX 75840 | 2018-07-12 |
| 1952681256 | Suzanne Castles | Physical Therapist | 375-a West Hwy 84, Fairfield, TX 75840 | 2011-08-18 |
| 1245476282 | Jack D Runyan | Physician Assistant | 734 W Commerce St, Fairfield, TX 75840 | 2008-12-22 |
| 1407945488 | Lisa Lott | Nurse Practitioner | 375a W Hwy 84, Fairfield, TX 75840 | 2006-10-11 |
| Find all providers in zip 75840 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "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. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669728663 | Therapy Specialists | Skilled Nursing Facility | 2600 Estates Dr, Fairfield, CA 94533-9711 | 2012-07-27 |
| 1912206731 | Way-fair Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 305 Northwest 11th Street, Fairfield, IL 62837 | 2011-03-18 |
| 1639237555 | Cambridge Manor of Fairfield LLC | Skilled Nursing Facility | 2428 Easton Tpke, Fairfield, CT 06825-1122 | 2006-12-04 |
| 1053484261 | Fairfield Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 6825 Grasselli Rd, Fairfield, AL 35064-1727 | 2006-11-16 |
| 1316023674 | Nelson Nursing Home Corp | Skilled Nursing Facility | 807-809 West Taylor, Fairfield, IA 52556 | 2006-10-30 |
| 1235152679 | Sagar Inc. | Skilled Nursing Facility | 1244 Travis Blvd, Fairfield, CA 94533-4802 | 2006-07-26 |
| 1679508162 | Northern California Retired Officers Community | Skilled Nursing Facility | 2800 Estates Dr, Fairfield, CA 94533-9712 | 2006-07-12 |
| 1013947795 | Ludlowe Center for Health and Rehabilitation, LLC | Skilled Nursing Facility | 118 Jefferson Street, Fairfield, CT 06825-1019 | 2006-07-05 |
| 1760427462 | Heartland-woodridge of Fairfield Oh LLC | Skilled Nursing Facility | 3801 Woodridge Blvd, Fairfield, OH 45014-3598 | 2006-06-17 |
| 1497702211 | Fairview Healthcare Residence Ltd. | Skilled Nursing Facility | 601 E Reunion St, Fairfield, TX 75840-1634 | 2006-05-27 |
| Find all providers in FAIRFIELD | ||||
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| 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.