Organization Active NPI

Fairchild Homes

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Raleigh, NC
National Provider Identifier
1609052182
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
MHL-092-696 Issued in NC
Legal business name
FAIRCHILD HOMES
Practice address
7053 Jeffreys Creek LN
Raleigh, NC 27616-5552
Phone
(919) 376-3798
Fax
(919) 376-3798
NPI assigned
Jan 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Authorized official

Name
Miss Socorro Garcia
Title
Owner
Phone
(919) 278-6943

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X MHL-092-696 NC Primary
Private Vehicle 347C00000X MH-092-696 NC
Respite Care 385H00000X MHL-092-696 NC

Addresses

Primary practice location

7053 Jeffreys Creek LN
Raleigh, NC 27616-5552

Mailing address

7053 Jeffreys Creek LN
Raleigh, NC 27616-5552
Phone (919) 376-3798

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1609052182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7053 JEFFREYS CREEK LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276165552",
            "telephone_number": "919-376-3798",
            "fax_number": "919-376-3798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7053 JEFFREYS CREEK LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276165552",
            "telephone_number": "919-376-3798",
            "fax_number": "919-376-3798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRCHILD HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "SOCORRO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-278-6943",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-092-696",
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NC",
            "license": "MH-092-696",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NC",
            "license": "MHL-092-696",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.