Fairbranch Health Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

FAIRBRANCH HEALTH SERVICES LLC

Doing business as

Fairbranch Health Services

Practice address

300 E Davis St Ste 122
McKinney, TX 75069-4588

Phone

(972) 369-7394

Fax

(346) 515-5155

NPI assigned

Dec 7, 2022

Last updated

Sep 10, 2024By 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

Ayobami Durosinmi, MPHNPI 1578280962

Title

Administrator

Phone

(512) 508-4162

Specialties & licenses 4

Addresses

Other names 1

• Fairbranch Health Services Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295446631. Details of each certification follow.

• CCN E21500 Hospice · Active · Details

Hospice certification: CCN E21500

Legal name

FAIRBRANCH HEALTH SERVICES, LLC

Doing business as

FAIRBRANCH HEALTH SERVICES

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 3, 2025

Last certification

Jul 16, 2025

Ownership / control type

Proprietary - Individual

Organization structure

LLCProprietary

Incorporated

Sep 9, 2022 in TX

Enrollment address

300 E Davis St
Suite 122
McKinney, TX 75069

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

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.

• Adebola Sulaiman Olatunji, M.D.

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1356308381

  W-2 Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ayobami Durosinmi, MPH

  • Nursing Home Administrator
  • McKinney, TX
  • NPI 1578280962
  NPD Authorized official

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1295446631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E DAVIS ST STE 122",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750694588",
            "telephone_number": "512-508-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E DAVIS ST STE 122",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750694588",
            "telephone_number": "972-369-7394",
            "fax_number": "346-515-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRBRANCH HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-07",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "DUROSINMI",
        "authorized_official_first_name": "AYOBAMI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "512-508-4162",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairbranch Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in McKinney, TX
• Providers in McKinney, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.