Organization Active NPI

Fairhurstcare LLC

  • In Home Supportive Care Agency
  • Bolingbrook, IL
National Provider Identifier
1295437226
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FAIRHURSTCARE LLC
Practice address
484 W Boughton Rd Ste B
Bolingbrook, IL 60440-2477
Phone
(630) 296-0942
NPI assigned
Mar 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Authorized official

Name
Canan FairhurstNPI 1528786951
Title
President/Owner
Phone
(630) 853-4818

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

484 W Boughton Rd Ste B
Bolingbrook, IL 60440-2477

Mailing address

484 W Boughton Rd Ste B
Bolingbrook, IL 60440-2477
Phone (630) 296-0942

Other names 1

  • Senior Helpers of Bolingbrook Doing business as

National Provider Directory

National Provider Directory

Locations

484 W Boughton Rd
Ste B
Bolingbrook, IL 60440
Phone (630) 296-0942

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1295437226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 W BOUGHTON RD STE B",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402477",
            "telephone_number": "630-296-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 W BOUGHTON RD STE B",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402477",
            "telephone_number": "630-296-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRHURSTCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "FAIRHURST",
        "authorized_official_first_name": "CANAN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "630-853-4818"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Helpers of Bolingbrook",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Senior Helpers of Bolingbrook",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bolingbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.