Fairborn Alf Operations LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FAIRBORN ALF OPERATIONS LLC

Doing business as

Fairborn Assisted Living

Practice address

2270 Park Hills Dr
Fairborn, OH 45324-3993

Phone

(937) 754-9820

NPI assigned

Dec 26, 2023

Last updated

Dec 26, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brent Miller

Title

Managing Partner

Phone

(614) 425-4218

Specialties & licenses 1

Addresses

Other names 1

• Fairborn Assisted Living Doing business as

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

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703548800000",
    "number": "1225807712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455010042",
            "telephone_number": "614-425-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 PARK HILLS DR",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453243993",
            "telephone_number": "937-754-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRBORN ALF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-26",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "614-425-4218"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairborn Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Fairborn, OH
• Providers in Fairborn, OH by specialty
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.