FAIR OAKS HEALTH SYSTEMS, LLC (NPI# 1689675548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689675548 |
| Entity Type | Organization |
| Organization Name | FAIR OAKS HEALTH SYSTEMS, LLC |
| Practice Address |
1 Sparks Ave Jamestown KY 42629-2418 |
| Mailing Address |
Po Box 740 Jamestown KY 42629-0740 |
| Practice Telephone | 2703432101 |
| Practice Fax Number | 2703432080 |
| Mailing Telephone | 2703432101 |
| Mailing Fax Number | 2703432080 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2008-11-05 |
| Authorized Official Name | MR. CHRIS MINNICH (ADMINISTRATOR OWNER) |
| Authorized Official Telephone | 2703432101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 100466 | KY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 12503728 | 05 |
| Street Address |
1 SPARKS AVE |
| City | JAMESTOWN |
| State | KY |
| Zip Code | 42629-2418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740812288 | Fair Oaks Health and Rehabilitation LLC | Respite Care | 1 Sparks Ave, Jamestown, KY 42629-2449 | 2020-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023400124 | Vickie Robertson | Registered Nurse | 119 Herriford Curve Rd, Jamestown, KY 42629 | 2015-02-26 |
| 1821314733 | Kristin Holly Adams | Pharmacist | 1417 N. Main St., Jamestown, KY 42629 | 2010-04-16 |
| 1588989008 | Jamestown Healthcare Clinic, LLC | Nurse Practitioner | 1417 N. Main St, Jamestown, KY 42629 | 2010-03-29 |
| 1801079660 | Lynda K Heath | Nurse Practitioner | 119 Hereford Curve Rd, Jamestown, KY 42629 | 2007-12-14 |
| 1609064831 | Julene Hopper | Counselor | 119 Hereford Curve Road, Jamestown, KY 42629 | 2007-10-12 |
| 1114059375 | Lisa Ann Helm | Speech-Language Pathologist | 70 Forest Hill Drive, Jamestown, KY 42629 | 2007-03-12 |
| 1235268723 | Jamestown Valu-rite Pharmacy | Durable Medical Equipment & Medical Supplies | 1417 North Main Street, Suite A, Jamestown, KY 42629 | 2007-03-02 |
| 1972642361 | Russell County Board of Education | Local Education Agency (LEA) | 404 S Main Street, Jamestown, KY 42629 | 2007-02-05 |
| 1508942749 | Melanie K Loy Flanagan | Dentist | 43 Fruit of The Loom Drive, Jamestown, KY 42629 | 2006-10-31 |
| 1891881413 | Jeffrey Louis Warner | Pharmacist | 1417 N. Main Street, Suite A, Jamestown, KY 42629 | 2006-10-04 |
| Find all providers in zip 42629 | ||||
| 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. |
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|---|---|---|---|---|
| 1962999516 | Ct Ohio Jamestown LLC | Skilled Nursing Facility | 4960 Old Us 35, Jamestown, OH 45335 | 2018-04-19 |
| 1215256078 | Eventide Jamestown LLC | Skilled Nursing Facility | 1300 2nd Pl Ne, Jamestown, ND 58401-3709 | 2010-05-19 |
| 1669613071 | Greatest Generation, Inc. | Skilled Nursing Facility | 2005 Shannon Gray Ct, Jamestown, NC 27282-9183 | 2009-03-13 |
| 1174713598 | Lp Jamestown LLC | Skilled Nursing Facility | 208 N Duncan St, Jamestown, TN 38556-3101 | 2007-08-01 |
| 1366552739 | Adams Farm Living Inc | Skilled Nursing Facility | 5100 Mackay Rd, Jamestown, NC 27282-9761 | 2006-08-30 |
| 1235116286 | Lutheran Social Services of Upstate New York, Inc. | Skilled Nursing Facility | 715 Falconer St, Jamestown, NY 14701-1935 | 2005-12-29 |
| 1821099870 | Health & Care Management, Ltd | Skilled Nursing Facility | 1300 2nd Place Ne, Jamestown, ND 58401-3709 | 2005-08-02 |
| 1366448706 | Gerry Homes Inc | Skilled Nursing Facility | 150 Prather Ave, Jamestown, NY 14701-6710 | 2005-06-21 |
| 1295738193 | Sisters of Mary of The Presentation Long Term Care | Skilled Nursing Facility | 501 19th St Ne, Jamestown, ND 58401-2541 | 2005-05-24 |
| 1144605924 | Pristine Senior Living of Jamestown LLC | Skilled Nursing Facility | 4960 Old Us Route 35 E, Jamestown, OH 45335-1712 | 2015-07-22 |
| Find all providers in JAMESTOWN | ||||
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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.