Arhc Sffldia01 TRS, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ARHC SFFLDIA01 TRS, LLC

Doing business as

Addington Place of Fairfield

Practice address

3000 W Madison Ave
Fairfield, IA 52556-4205

Phone

(641) 469-5778

NPI assigned

Jan 13, 2022

Last updated

Jan 13, 2022By 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

Nicole Kerr

Title

Administrative Assistance

Phone

(641) 469-5778

Specialties & licenses 1

Addresses

Other names 1

• Addington Place of Fairfield Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1396496121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 W MADISON AVE",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525564205",
            "telephone_number": "641-469-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 W MADISON AVE",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525564205",
            "telephone_number": "641-469-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARHC SFFLDIA01 TRS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "KERR",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANCE",
        "authorized_official_telephone_number": "641-469-5778"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Addington Place of Fairfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Fairfield, IA
• Providers in Fairfield, IA by specialty
• Assisted Living Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.