FAIRFAX COMMUNITY HOME HEALTH (NPI# 1437487758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437487758 |
| Entity Type | Organization |
| Organization Name | FAIRFAX COMMUNITY HOME HEALTH |
| Practice Address |
300 10th Ave Se Fairfax MN 55332-2149 |
| Practice Telephone | 5074268241 |
| Practice Fax Number | 5074267340 |
| Mailing Telephone | 5074268241 |
| Mailing Fax Number | 5074267340 |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2009-11-24 |
| Authorized Official Name | JUDITH A SANDMANN (ADMINISTRATOR) |
| Authorized Official Telephone | 5074268241 |
| Is Organization Subpart | Y |
| Parent Organization Name | FAIRFAX COMMUNITY HOME INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 345866 | MN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 138740500 | 05 | |
| MN | PRIMEWEST HEALTH | 030802015 | 01 |
| Street Address |
300 10TH AVE SE |
| City | FAIRFAX |
| State | MN |
| Zip Code | 55332-2149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710963251 | Fairfax Community Home Inc | Skilled Nursing Facility | 300 10th Ave Se, Fairfax, MN 55332-2149 | 2005-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427007913 | John Charles Bengtson | Dentist | 300 South Park St., Fairfax, MN 55332 | 2006-05-10 |
| 1609946623 | Kari Maeland Weikle | Physical Therapist | 300 South Park St., Fairfax, MN 55332 | 2006-11-08 |
| 1770580664 | City of Fairfax | Ambulance | 112 1st Street Se, Fairfax, MN 55332-0911 | 2005-07-07 |
| 1225164494 | Denine&chuck Kay Hellendrung | Contractor | 64732 490th St, Fairfax, MN 55332-2078 | 2007-02-24 |
| 1992812630 | Pamela Kaye Munson | Counselor | 66354 440th St, Fairfax, MN 55332-3017 | 2006-08-25 |
| 1447245279 | Fairfax Medical Clinic Pa | Family Medicine | 300 Park St S, Fairfax, MN 55332-3153 | 2005-09-19 |
| 1164617866 | Thomas Frederick Gilles | Family Medicine | 300 Park St S, Fairfax, MN 55332-3153 | 2007-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144147 | Emily Turner | Nurse Practitioner | 1099 Main St, Fairfax, VT 05454-9529 | 2020-11-06 |
| 1285234021 | Sabrina Kafin Weiskind | Social Worker | 13221 Point Pleasant Dr, Fairfax, VA 22033-3508 | 2020-10-30 |
| 1679173777 | Farshad Soltanian | Pharmacist | 11181 Lee Hwy # F, Fairfax, VA 22030-5004 | 2020-10-28 |
| 1083214357 | Laci Ann Tang | Lactation Consultant, Non-RN | 5221 Concordia St, Fairfax, VA 22032-3409 | 2020-10-27 |
| 1689274847 | Ruby Lee | Pharmacist | 12190 Waveland St Apt 401, Fairfax, VA 22033-5572 | 2020-10-27 |
| 1154920163 | Vera D Daniel | Social Worker | 4110 Chain Bridge Rd Ste 316, Fairfax, VA 22030-4020 | 2020-10-21 |
| 1962001156 | Maggie Mcinturff | Physical Therapist | 3620 Joseph Siewick Dr Ste 100a, Fairfax, VA 22033-1757 | 2020-10-20 |
| 1780282152 | Rachel Tsipora Chalom | Speech-Language Pathologist | 10565 Fairfax Blvd Ste 200, Fairfax, VA 22030-3104 | 2020-10-16 |
| 1366041790 | Stephanie Ferber | Nurse Practitioner | 8081 Innovation Park Dr Fl 7, Fairfax, VA 22031-4867 | 2020-10-16 |
| 1235737248 | Alpa Patel Md Pllc | Internal Medicine | 3020 Hamaker Ct Ste B106, Fairfax, VA 22031-2236 | 2020-10-12 |
| Find all providers in FAIRFAX | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770196370 | Physiocore LLC | Home Health | 10268 Latney Rd, Fairfax, VA 22032-3256 | 2020-08-25 |
| 1891305686 | Global Resources and Supports | Home Health | 10560 Main St Ste 316, Fairfax, VA 22030-7175 | 2020-08-06 |
| 1851920946 | Bridge To Homecare | Home Health | 10605 Judicial Dr Ste B4, Fairfax, VA 22030-5167 | 2020-04-02 |
| 1326671348 | Comprehensive Care Services Agency LLC | Home Health | 3022 Javier Rd Ste 209, Fairfax, VA 22031-4657 | 2020-02-18 |
| 1831729409 | Maya Home Health Care LLC | Home Health | 3615 Chain Bridge Rd Ste C, Fairfax, VA 22030-3237 | 2020-01-22 |
| 1033755806 | Trillium Home Health Care, LLC | Home Health | 12471 Hayes Ct Unit 103, Fairfax, VA 22033-4298 | 2019-11-26 |
| 1700439593 | Vernon Davis Home Health Care Inc. | Home Health | 10400 Eaton Pl Ste 202, Fairfax, VA 22030-2208 | 2019-07-20 |
| 1881150803 | Care First LLC | Home Health | 4210 Mozart Brigade Ln Apt F, Fairfax, VA 22033-3955 | 2019-02-14 |
| 1669936365 | Ajir Home Care, LLC | Home Health | 3045 Mission Square Dr, Fairfax, VA 22031-1113 | 2019-01-27 |
| 1962974352 | Vitalityhome Healthcare, LLC | Home Health | 4123 Fountainside Ln, Fairfax, VA 22030-7402 | 2018-12-22 |
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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.