Organization Active NPI

Fairhope Health & Rehab, LLC

Doing business as Fairhope Health & Rehab

  • Skilled Nursing Facility
  • Fairhope, AL
National Provider Identifier
1306179429
Registry record updated Mar 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
N0201 Issued in AL
Legal business name
FAIRHOPE HEALTH & REHAB, LLC
Doing business as
Fairhope Health & Rehab
Practice address
108 S Church St
Fairhope, AL 36532-2308
Phone
(251) 928-2153
Fax
(251) 928-4763
NPI assigned
Sep 8, 2009
Last updated
Mar 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2014

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

Authorized official

Name
Michael E Winget Sr.
Title
Manager
Phone
(478) 994-3669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X N0201 AL Primary

Addresses

Primary practice location

108 S Church St
Fairhope, AL 36532-2308

Mailing address

108 S Church St
Fairhope, AL 36532-2308
Phone (251) 928-2153

Other identifiers 1

IdentifierTypeStateIssuer
47-57350SMedicaidAL

Other names 1

  • FAIRHOPE HEALTH & REHAB Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1306179429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S CHURCH ST",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322308",
            "telephone_number": "251-928-2153",
            "fax_number": "251-928-4763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S CHURCH ST",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322308",
            "telephone_number": "251-928-2153",
            "fax_number": "251-928-4763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRHOPE HEALTH & REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-08",
        "last_updated": "2014-03-20",
        "status": "A",
        "authorized_official_last_name": "WINGET",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "478-994-3669",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": "N0201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47-57350S",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAIRHOPE HEALTH & REHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairhope, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.