Fairfield Nursing Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

02-008 Issued in MD

Legal business name

FAIRFIELD NURSING CENTER

Practice address

1454 Fairfield Loop Rd
Crownsville, MD 21032-2006

Phone

(410) 923-6820

Fax

(410) 987-9157

NPI assigned

Jun 23, 2006

Organization subpart

No

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

Authorized official

Name

Leanna Lennox, NHA

Title

Administrator

Phone

(410) 923-6820

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154357283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 FAIRFIELD LOOP RD",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "210322006",
            "telephone_number": "410-923-6820",
            "fax_number": "410-987-9157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1454 FAIRFIELD LOOP RD",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "210322006",
            "telephone_number": "410-923-6820",
            "fax_number": "410-987-9157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD NURSING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LENNOX",
        "authorized_official_first_name": "LEANNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "410-923-6820",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "02-008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.