Fairchild (MD) Leasing Co., LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FAIRCHILD (MD) LEASING CO., LLC

Doing business as

Kent Healthcare Center

Practice address

1290 Fairchild Ave
Kent, OH 44240-1814

Phone

(330) 678-4912

NPI assigned

Jan 31, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Sandra K Hubbard

Title

Director of a/R

Phone

(513) 489-7100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kent Healthcare Center Doing business as

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229558400000",
    "number": "1659559771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 ASHWOOD DR",
            "address_2": "SUITE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452412465",
            "telephone_number": "513-489-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 FAIRCHILD AVE",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442401814",
            "telephone_number": "330-678-4912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRCHILD (MD) LEASING CO., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-12-18",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR OF A/R",
        "authorized_official_telephone_number": "513-489-7100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2815529",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kent Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachael Erickson, MS, RD
• Erika Eskenazi
• Elizabeth Shanika Esparaz, MD
• Tami Renee Estep
• Virginia Mateo Factor, D.O.
• Family & Community Services, Inc
• Family and Community Services, Inc.
• Family Foot Care Center LLC
• Familycare Home Health
• David F Fantelli, M.D.

• Skilled Nursing Facility in Kent, OH
• Providers in Kent, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.