Fairview Village Adult Day Care LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

FAIRVIEW VILLAGE ADULT DAY CARE LLC

Practice address

8449 Jennings Station Rd
Fairview Village Adult Day Care
Saint Louis, MO 63136

Phone

(314) 533-3111

Fax

(314) 533-3120

NPI assigned

May 8, 2017

Organization subpart

No

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

Authorized official

Name

Ali Chaudhry

Title

Member LLC

Phone

(314) 533-3111

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1494201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494201600000",
    "number": "1184150302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13210 CLAYTON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311001",
            "telephone_number": "314-533-3111",
            "fax_number": "314-533-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8449 JENNINGS STATION RD",
            "address_2": "FAIRVIEW VILLAGE ADULT DAY CARE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63136",
            "telephone_number": "314-533-3111",
            "fax_number": "314-533-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRVIEW VILLAGE ADULT DAY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-08",
        "last_updated": "2017-05-08",
        "status": "A",
        "authorized_official_last_name": "CHAUDHRY",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "MEMBER LLC",
        "authorized_official_telephone_number": "314-533-3111"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Korre Leigh Fairman, DO
• Fairview Heights Medical Group SC
• Fairview Heights Medical Group SC
• Fairview Heights Medical Group SC
• Fairview Heights Medical Group, SC
• Faith & Future Care Services LLC
• Faith and Favor Adult Day Center, LLC
• Faith and Favor CDS, LLC
• Faith Dedication Home Healthcare
• Faith Hospice Incorporated

• Adult Day Care Clinic/Center in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Adult Day Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; 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.