Fairway Oaks Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1613096 Issued in FL

Legal business name

FAIRWAY OAKS CENTER, LLC

Practice address

13806 N 46TH St
Tampa, FL 33613-4921

Phone

(813) 977-4214

Fax

(813) 977-4228

NPI assigned

Oct 13, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Alise Ziolkowski, MBA

Title

VP Finance

Phone

(813) 558-6629

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Fairway Oaks Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Skilled nursing facility certification: CCN 105305

Legal name

FAIRWAY OAKS CENTER LLC

Doing business as

FAIRWAY OAKS CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 13, 1977

Last certification

Sep 11, 2024

Beds

120

Ownership / control type

Individual

Organization structure

LLCProprietary

Enrollment address

13806 N 46TH St
Tampa, FL 33613-4921

Nursing home name

FAIRWAY OAKS CENTER

Affiliated entity

ASTON HEALTH

Listed as

Fairway Oaks CenterCCN 105305

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

2 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Individual

Certified

Jul 13, 1977

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

120104.8 residents per day on average

Chain

Aston Health38 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Networks

• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Ramon Guerrero Cueto, M.D.

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1134301914

  Adp of the SNF

  CMS ownership

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Fernando Diaz Mori, M.D.

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1093972143

  Nursing home

  Care Compare affiliation
• Ramon Guerrero Cueto, M.D.

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1134301914

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1285622209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13806 N 46TH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134921",
            "telephone_number": "813-977-4214",
            "fax_number": "813-977-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13806 N 46TH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134921",
            "telephone_number": "813-977-4214",
            "fax_number": "813-977-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRWAY OAKS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-13",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "ZIOLKOWSKI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ALISE",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "813-558-6629",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1613096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026069000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE HH CONNECTION",
            "identifier": "71-00465",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "M85",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED AMERICAN",
            "identifier": "C105305",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairway Oaks Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor Fair, MSN, APRN, FNP-C
• Garrett Fairbairn
• Christina Lynne Dalke Fairbanks, PH.D., M.S.
• Courtney Ridley Fairbanks, AUD
• David Edward Fairleigh, M.D.
• Sunshine Faison, ARNP
• Faith Home Health, Inc
• Faith Home Health, Inc
• Jennifer M. Faith, R.D.
• Melissa Fajardo Olavarrieta

• Skilled Nursing Facility in Tampa, FL
• Providers in Tampa, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.