Fairview Rest Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

FCL012006 Issued in NC

Legal business name

FAIRVIEW REST HOME

Practice address

2760 Icard School Rd
Connellys Springs, NC 28612-7705

Phone

(828) 879-9510

Fax

(828) 879-2040

NPI assigned

Mar 28, 2007

Last updated

Aug 22, 2020By 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

Mrs. Frances J Bibb

Title

President

Phone

(828) 879-9510

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265551394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 ICARD SCHOOL RD",
            "city": "CONNELLYS SPRINGS",
            "state": "NC",
            "postal_code": "286127705",
            "telephone_number": "828-879-9510",
            "fax_number": "828-879-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 ICARD SCHOOL RD",
            "city": "CONNELLYS SPRINGS",
            "state": "NC",
            "postal_code": "286127705",
            "telephone_number": "828-879-9510",
            "fax_number": "828-879-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRVIEW REST HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BIBB",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-879-9510",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL012006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7802325",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Baptist Camp Road Group Home
• Sharyn Kiziah Brady, MA, LPC
• Carolina Health Care Center of Burke Limited Partnership (Carolina Rehab Center of Burke)
• Crystal NMN Cha, PHARMD
• Leslie S Corley, MA, LPC, NCC
• Julie Granger, RPH
• Jamie R. Kirby (East View Family Care Home)
• Nathan A Riner, PT

• Adult Care Home Facility in Connellys Springs, NC
• Providers in Connellys Springs, NC by specialty
• Adult Care Home Facility in North Carolina

• 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.