WC- FAIRFIELD OPS, LLC (NPI# 1619365962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619365962 |
Entity Type | Organization |
Organization Name | WC- FAIRFIELD OPS, LLC |
Other Organization Name | BROOKSTONE ESTATES OF FAIRFIELD |
Practice Address |
315 Market Ave Fairfield IL 62837-2611 |
Practice Telephone | 6188425875 |
Practice Fax Number | 6188425870 |
Mailing Telephone | 6188425875 |
Mailing Fax Number | 6188425870 |
Enumeration Date | 2015-01-08 |
Last Update Date | 2015-06-26 |
Authorized Official Name | MS. MARY KENT (BUSINESS OFFICE MANAGER) |
Authorized Official Telephone | 6188425875 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | IL | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Brookstone Estates of Fairfield | Doing Business As Name - Organization |
Street Address |
315 MARKET AVE |
City | FAIRFIELD |
State | IL |
Zip Code | 62837-2611 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164756094 | Midwest Care Fairfield | Point of Service | 315 Market Ave, Fairfield, IL 62837-2611 | 2009-09-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881294619 | Katelyn Atteberry | Pharmacist | 150 Commerce Drive, Fairfield, IL 62837 | 2020-10-30 |
1265894521 | Rebecca August | Social Worker | 506 Nw 9th St, Fairfield, IL 62837 | 2016-03-25 |
1063814259 | Kathie L Hill | Social Worker | 303 Nw 11th St., Fairfield Memorial Hospital, Fairfield, IL 62837 | 2014-09-19 |
1912206731 | Way-fair Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 305 Northwest 11th Street, Fairfield, IL 62837 | 2011-03-18 |
1063600773 | Alvin Ewing | Counselor | 407 N. Basin Road, Fairfield, IL 62837 | 2007-10-09 |
1417145129 | Gilbert Tennyson | Counselor | 407 North Basin Rd, Fairfield, IL 62837 | 2007-10-09 |
1972791689 | Clint Harvey | Counselor | 407 North Basin Road, Fairfield, IL 62837 | 2007-10-09 |
1770789778 | Fairfield Estates, LLC | Point of Service | 315 North Market Street, Fairfield, IL 62837 | 2007-06-26 |
1346382207 | Robert E Lowry | Counselor | 407 N Basin Rd., Fairfield, IL 62837 | 2007-02-13 |
1790840825 | Bradley D Kramer | Dentist | 301 Nw 11th Street, Suite 212, Fairfield, IL 62837 | 2006-12-27 |
Find all providers in zip 62837 |
Taxonomy Code | 310400000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639783673 | Majestic Care Fairfield Assisted Living LLC | Assisted Living Facility | 5251 Dixie Hwy, Fairfield, OH 45014-3036 | 2020-09-08 |
1497219315 | Sunrise of Fairfield Opco, LLC | Assisted Living Facility | 1571 Stratfield Rd, Fairfield, CT 06825-1376 | 2019-01-24 |
1336554203 | Front Range Assisted Living, Inc. | Assisted Living Facility | 615 5th Ave. North, Fairfield, MT 59436 | 2014-06-30 |
1154649556 | Fairfield Pavilion | Assisted Living Facility | 5251 Dixie Highway, Fairfield, OH 45014 | 2010-05-10 |
1730391947 | Sunnybrook Assisted Living, Inc. | Assisted Living Facility | 3000 W Madison Ave, Fairfield, IA 52556-4205 | 2007-05-03 |
1831232263 | Msh West Essex Operating LLC | Assisted Living Facility | 47 Greenbrook Rd, Fairfield, NJ 07004-3890 | 2007-02-15 |
1346736675 | Welltower Opco Group LLC | Assisted Living Facility | 47 Greenbrook Rd, Fairfield, NJ 07004-3890 | 2018-07-10 |
1700333168 | Fairfield Bg Opco LLC | Assisted Living Facility | 2357 Mack Rd, Fairfield, OH 45014-8669 | 2016-09-02 |
1336498351 | Brookdale Senior Living Communities Inc | Assisted Living Facility | 2357 Mack Rd, Fairfield, OH 45014-8669 | 2012-09-05 |
1225337975 | Village Assisted Living LLC | Assisted Living Facility | 3000 W Madison Ave, Fairfield, IA 52556-4205 | 2011-03-21 |
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.