Fairhope Residential LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

FAIRHOPE RESIDENTIAL LLC

Practice address

18874 Summer Oaks PL
Fairhope, AL 36532-4721

Phone

(270) 869-7934

NPI assigned

Aug 4, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. John Thomas Michael, RN

Title

Executive Director

Phone

(270) 869-7934

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754265600000",
    "number": "1033093844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20777 NOBLEMAN DR",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365324658",
            "telephone_number": "270-869-7934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18874 SUMMER OAKS PL",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365324721",
            "telephone_number": "270-869-7934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRHOPE RESIDENTIAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A",
        "authorized_official_last_name": "MICHAEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "270-869-7934",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fairhope Modern Dental, PC
• Fairhope Pediatric Dentistry, PC
• Fairhope Pediatrics, Inc.
• Fairhope Pharmacy Inc.
• Fairhope Physical Therapy Services, Inc.
• Fairhope Smiles, P.C.
• Fairhope Terrezza Group OD PC
• Fairhope Urology, PC
• Fairhope Vein Treatment Center
• Family Care at Home. LLC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.