FAIRFAX COMMUNITY HOME INC (NPI# 1710963251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710963251 |
| Entity Type | Organization |
| Organization Name | FAIRFAX COMMUNITY HOME INC |
| 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 | 2005-12-16 |
| Last Update Date | 2013-05-08 |
| Authorized Official Name | MRS. JUDITH A SANDMANN (ADMINISTRATOR) |
| Authorized Official Telephone | 5074268241 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 328593 | MN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | PRIME WEST HEALTH SYSTEM | 030802015 | 01 |
| MN | BLUE CROSS BLUE SHIELD | 8669FA | 01 |
| MN | 138740500 | 05 | |
| MEDICA | 7122754 | 01 |
| Street Address |
300 10TH AVE SE |
| City | FAIRFAX |
| State | MN |
| Zip Code | 55332-2149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437487758 | Fairfax Community Home Health | Home Health | 300 10th Ave Se, Fairfax, MN 55332-2149 | 2009-11-24 |
| 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 | 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 |
|---|---|---|---|---|
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1659418473 | Caremeridian, LLC | Skilled Nursing Facility | 2390 Sir Francis Drake Blvd, Fairfax, CA 94930-1127 | 2007-01-31 |
| 1336246677 | Allendale County Hospital Board | Skilled Nursing Facility | 185 Revolutionary Trail, Fairfax, SC 29827 | 2006-09-20 |
| 1861437154 | Manor Care-fair Oaks of Fairfax Va LLC | Skilled Nursing Facility | 12475 Lee Jackson Memorial Hwy, Fairfax, VA 22033-2803 | 2006-06-19 |
| 1972592533 | The Temple Foundation Inc. | Skilled Nursing Facility | 9229 Arlington Blvd, Fairfax, VA 22031-2504 | 2005-10-17 |
| 1386636116 | Fairfax Nursing Center, Inc | Skilled Nursing Facility | 10701 Main St, Fairfax, VA 22030-6904 | 2005-08-18 |
| 1033718382 | Fairfax Operator LLC | Skilled Nursing Facility | 10701 Main St, Fairfax, VA 22030-6904 | 2020-10-19 |
| 1912032012 | Inova Health System Services | Skilled Nursing Facility | 4315 Chain Bridge Rd, Fairfax, VA 22030-3061 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639707177 | Prairie Bluffs Rehabilitation Center LLC | Skilled Nursing Facility | 10300 Hennepin Town Rd, Eden Prairie, MN 55347-5100 | 2020-03-30 |
| 1881221869 | Natalie Sears | Skilled Nursing Facility | 1200 Cheri Ln Ne Apt 5, Fridley, MN 55421-1213 | 2020-03-26 |
| 1396210779 | Southview Operations LLC | Skilled Nursing Facility | 2000 Oakdale Avenue, West St. Paul, MN 55118 | 2018-10-11 |
| 1144707811 | Victory Health Operations, LLC | Skilled Nursing Facility | 512 - 49th Avenue North, Minneapolis, MN 55430-3621 | 2018-07-25 |
| 1710473434 | Cg Care Center, LLC. | Skilled Nursing Facility | 6993 80th Street South, Cottage Grove, MN 55016 | 2018-07-05 |
| 1457863466 | Seasons Healthcare of Trimont, Inc | Skilled Nursing Facility | 305 Broadway Avenue South, Trimont, MN 56176 | 2017-10-31 |
| 1760903157 | St. John's Lutheran Home | Skilled Nursing Facility | 1771 Eagle View Cir, Albert Lea, MN 56007-1817 | 2017-07-06 |
| 1114458221 | Lakeland Homecare LLC | Skilled Nursing Facility | 1604 Covington Ln, Eagan, MN 55122-2759 | 2017-03-22 |
| 1952842197 | Nsh Rochester East LLC | Skilled Nursing Facility | 501 8th Ave Se, Rochester, MN 55904-4834 | 2017-03-20 |
| 1750827234 | Walker Operations LLC | Skilled Nursing Facility | 209 Birchwood Avenue West, Walker, MN 56484 | 2017-01-09 |
| Find all providers with the same taxonomy | ||||
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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.