Organization Active NPI

Fairlane Home Healthcare LLC

  • Home Health Agency
  • Dearborn, MI
National Provider Identifier
1154591824
Registry record updated May 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FAIRLANE HOME HEALTHCARE LLC
Practice address
4 Parklane Blvd Ste 360
Dearborn, MI 48126-2660
Phone
(313) 982-3000
Fax
(313) 982-3003
NPI assigned
Mar 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2010

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

Authorized official

Name
Fakeha Sultan
Title
Administrator
Phone
(734) 306-1992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4 Parklane Blvd Ste 360
Dearborn, MI 48126-2660

Mailing address

4 Parklane Blvd Ste 360
Dearborn, MI 48126-2660
Phone (313) 982-3000

National Provider Directory

National Provider Directory

Locations

4 Parklane Blvd
Ste 360
Dearborn, MI 48126
Phone (313) 982-3000

32200 Schoolcraft Rd
Livonia, MI 48150
Phone (734) 421-2464

NPI Registry JSON

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

{
    "created_epoch": "1205020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275004800000",
    "number": "1154591824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PARKLANE BLVD STE 360",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262660",
            "telephone_number": "313-982-3000",
            "fax_number": "313-982-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PARKLANE BLVD STE 360",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262660",
            "telephone_number": "313-982-3000",
            "fax_number": "313-982-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRLANE HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-09",
        "last_updated": "2010-05-28",
        "status": "A",
        "authorized_official_last_name": "SULTAN",
        "authorized_official_first_name": "FAKEHA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "734-306-1992"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; 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.