Fairfax Place at Home

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FAIRFAX PLACE AT HOME

Practice address

9014 Cedar Ave
Cleveland, OH 44106-2932

Phone

(216) 795-1363

Fax

(216) 795-8060

NPI assigned

Feb 12, 2013

Last updated

Feb 12, 2013By 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

Mr. Henry Herman Edwards Jr.

Title

Director

Phone

(216) 795-1363

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360627200000",
    "number": "1376882266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9014 CEDAR AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441062932",
            "telephone_number": "216-795-1363",
            "fax_number": "216-795-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9014 CEDAR AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441062932",
            "telephone_number": "216-795-1363",
            "fax_number": "216-795-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFAX PLACE AT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-12",
        "last_updated": "2013-02-12",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "HERMAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "216-795-1363",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derrick Fair
• Kimyatta E Fair, STNA
• Mari Elizabeth Fair
• Rachelle Fair
• Gwendolyn Faircloth
• Fairfax Place at Home NM, LLC
• Fairfax Place Transportation, LLC
• Asha Fairley
• Tasha Lakee Fairley, LSW
• Chenita Arlene Fairly, RN

• Home Health Agency in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.