Fleshers Fairview Rest Home Inc
Organization Active NPI Nursing Facility/Intermediate Care Facility · Fairview, NC
NPI 1215052683 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1215052683
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nursing Facility/Intermediate Care Facility 313M00000X
- License
- NH0517 (NC)
- Legal business name
- FLESHERS FAIRVIEW REST HOME INC
- Practice address
- 3016 Cane Creek Rd
Fairview, NC 28730-8743 - Phone
- (828) 628-1018
- Fax
- (828) 628-0209
- NPI assigned
- Mar 21, 2007
- Organization subpart
- No
Authorized official
- Name
- Kathy Merrill
- Title
- Administrator
- Phone
- (828) 628-1018
Corporate family (same tax ID) 2
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2019271 | Fleshers of Fairview Rest Home | Certificate of waiver | Jan 25, 2027 |
National Provider Directory
- Tax ID family
- Fleshers Fairview Health Care
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | NH0517 | NC | Yes |
Addresses
Primary practice location
3016 Cane Creek Rd
Fairview, NC 28730-8743
Mailing address
3016 Cane Creek Rd
Fairview, NC 28730-8743
Phone (828) 628-1018
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7801150 | Medicaid | NC |
Other providers in Fairview, NC
- Fairview Chiropractic Center
- Fairview Urgent Care, PLLC
- Fairview Volunteer Fire Department Inc
- Fleshers Fairview Health Care
- Fleshers Fairview Health Care
- Kristin Brumm Friedmann
- Rebecca Lynn Fugate
- Sonita Chevette Gibbs
- Gift of Giving Home Health Agency
- Jennifer M Gift
All providers in Fairview, NC · Nursing Facility/Intermediate Care Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.