Fairview Fellowship Home for Senior Citizens, Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

NH4701 Issued in OK

Legal business name

FAIRVIEW FELLOWSHIP HOME FOR SENIOR CITIZENS, INC.

Practice address

605 E State Rd
Fairview, OK 73737-1455

Phone

(580) 227-3783

Fax

(580) 227-3328

NPI assigned

Jul 4, 2005

Last updated

Sep 11, 2025By 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. Michael G Miller, NHA

Title

Executive Director

Phone

(580) 227-3783

Specialties & licenses 2

Addresses

Other names 1

• Fairview Fellowship Home and Village Other name

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1568469740. Details of each certification follow.

• CCN 375427 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 375427

Legal name

FAIRVIEW FELLOWSHIP HOME FOR SENIOR CITIZENS INC

Doing business as

FAIRVIEW FELLOWSHIP HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 31, 2003

Last certification

May 23, 2024

Beds

100

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Feb 11, 1960 in OK

Enrollment address

605E State Rd
Fairview, OK 73737-1455

Nursing home name

FAIRVIEW FELLOWSHIP HOME FOR SENIOR CITIZENS, INC

Listed as

Fairview Fellowship Home For Senior Citizens, IncCCN 375427 · All quality measures

Overall star rating

1 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jan 31, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10069.4 residents per day on average

Penalties (3 years)

1Fines totaling $18,415

Processed by Care Compare on Aug 1, 2026.

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.

Practitioners 2

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.

• Jami Luann Benton, M.D.

  • Family Medicine Physician
  • Enid, OK
  • NPI 1639224264
  NPD (past)
• John Price, M.D.

  • Emergency Medicine Physician
  • Enid, OK
  • NPI 1376560904
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Jami Luann Benton, M.D.

  • Family Medicine Physician
  • Enid, OK
  • NPI 1639224264

  Nursing home

  Care Compare affiliation
• John Price, M.D.

  • Emergency Medicine Physician
  • Enid, OK
  • NPI 1376560904

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1120435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1568469740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 E STATE RD",
            "city": "FAIRVIEW",
            "state": "OK",
            "postal_code": "737371455",
            "telephone_number": "580-227-3783",
            "fax_number": "580-227-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 E STATE RD",
            "city": "FAIRVIEW",
            "state": "OK",
            "postal_code": "737371455",
            "telephone_number": "580-227-3783",
            "fax_number": "580-227-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRVIEW FELLOWSHIP HOME FOR SENIOR CITIZENS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-04",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "580-227-3783",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "NH4701",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH4701",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairview Fellowship Home and Village",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Fairview Regional Medical Center Authority (Fairview Regional Medical Center)
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• Fairview Regional Medical Center Authority (Fairview Family Clinic)
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• Nursing Facility/Intermediate Care Facility in Fairview, OK
• Providers in Fairview, OK by specialty
• Nursing Facility/Intermediate Care Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.