FAIRLIFE HEALTHCARE, LLC (NPI# 1801384979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801384979 |
| Entity Type | Organization |
| Organization Name | FAIRLIFE HEALTHCARE, LLC |
| Practice Address |
150 Hidden Hill Cir Odenton MD 21113-4015 |
| Practice Telephone | 3013266103 |
| Mailing Telephone | 3013266103 |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2018-04-24 |
| Authorized Official Name | KOFI KLU (DIRECTOR OF NURSING / CEO) |
| Authorized Official Telephone | 3013266103 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | R4141 | MD | Agencies |
| Street Address |
150 HIDDEN HILL CIR |
| City | ODENTON |
| State | MD |
| Zip Code | 21113-4015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366938599 | Dmv Community Health Services LLC | Clinic/Center | 87778 Pine Orchard Parkway, Odenton, MD 21113 | 2018-07-11 |
| 1285125997 | Edward Lashawn Harvey | Specialist | 207 Ammunition Ave, Odenton, MD 21113 | 2018-05-29 |
| 1275041394 | Aimee Kathleen Olivera Sanchez | Social Worker | 2150 Colonel Way, Odenton, MD 21113 | 2018-01-11 |
| 1891214714 | Bincy Kuttiplackal Mathai | Dentist | 1135 Annapolis Road, Odenton, MD 21113 | 2017-09-12 |
| 1730601949 | Amanda Mary Jackiewicz | Physician Assistant | Greater Maryland Pain Management, 1130 Annapolis Rd Suite 100, Odenton, MD 21113 | 2017-07-10 |
| 1346771235 | Pattrena Reid | Respiratory Therapist, Registered | 115 Bragg Blvd, Odenton, MD 21113 | 2017-03-23 |
| 1225572233 | Pamela Denise Ponder | Internal Medicine | 2603 Portola Court, Odenton, MD 21113 | 2016-12-09 |
| 1285052803 | Diana Nicole Spell | Internal Medicine | Johns Hopkins Community Physicians - Odenton, 1106 Annapolis Road, Odenton, MD 21113 | 2014-04-01 |
| 1730431321 | Orthopedic Physicians of Annapolis LLC | Prosthetic/Orthotic Supplier | 1106 Annapolis Road, Suite 130, Odenton, MD 21113 | 2012-10-08 |
| 1275869463 | Olubukola Fakunle | Pharmacist | 2294 Blue Water Blvd, Weis Pharmacy, Odenton, MD 21113 | 2009-10-23 |
| Find all providers in zip 21113 | ||||
| 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 |
|---|---|---|---|---|
| 1376178491 | Abba Home Healthcare Solutions LLC | Home Health | 1644 Annapolis Rd Ste 4, Odenton, MD 21113-1002 | 2020-03-09 |
| 1942581590 | Senior Care Services LLC | Home Health | 8373 Piney Orchard Pkwy Ste 205, Odenton, MD 21113-1531 | 2011-09-08 |
| 1285867622 | Djc Home Healthcare Services | Home Health | 1413 Annapolis Rd, Suite 106, Odenton, MD 21113-1216 | 2009-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356232 | Compassionate Hearts Health Care, LLC | Home Health | 12806 Glasgow Ct, Fort Washington, MD 20744-7034 | 2020-11-06 |
| 1396345302 | Jfm Optima Care, LLC | Home Health | 14653 Argos Pl, Upper Marlboro, MD 20774-8612 | 2020-10-28 |
| 1245839877 | Adaptive Life and Wellness LLC | Home Health | 14204 Marlborough Dr, Upper Marlboro, MD 20772-2813 | 2020-10-24 |
| 1598364036 | Strong Tower Home Health Services, LLC | Home Health | 24218 Arena Stage Ct, Damascus, MD 20872-2189 | 2020-10-24 |
| 1225637176 | Hoping Heart Home Healthcare | Home Health | 7967 Pipers Path, Glen Burnie, MD 21061-6239 | 2020-10-21 |
| 1548869696 | Albeniz Care Agency, LLC | Home Health | 2002 Tuscarora Valley Ct, Frederick, MD 21702-7900 | 2020-10-20 |
| 1548868300 | Universal Home Assistance LLC | Home Health | 6215 64th Ave Apt 4, Riverdale, MD 20737-2943 | 2020-10-14 |
| 1790383594 | Elite Caregivers Nursing Agency LLC | Home Health | 6821 Purple Lilac Ln, Clinton, MD 20735-4087 | 2020-10-14 |
| 1376141267 | Goshen Health Care Services LLC | Home Health | 15305 Beaufort Pl, Silver Spring, MD 20905-4203 | 2020-10-13 |
| 1083212153 | Dependable Care | Home Health | 1114 Muskogee Ln, Lusby, MD 20657-3529 | 2020-10-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on FAIRLIFE HEALTHCARE, LLC.
| 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.