NPIMap

Organization Active NPI

Louden Fairfax Care LLC

  • In Home Supportive Care Agency
  • Statesboro, GA
National Provider Identifier
1689346926
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LOUDEN FAIRFAX CARE LLC
Doing business as
Louden Fairfax Care LLC
Practice address
207 Institute St
Statesboro, GA 30458-0920
Phone
(912) 741-8980
NPI assigned
Oct 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Authorized official

Name
Ryan Colby Thomas, REP
Title
Business Manager
Phone
(912) 741-8980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

207 Institute St
Statesboro, GA 30458-0920

Mailing address

207 Institute St
Statesboro, GA 30458-0920
Phone (912) 741-8980

Other names 1

  • Louden Fairfax Care LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL loudounfairaxcarellc@gmail.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1689346926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 INSTITUTE ST",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580920",
            "telephone_number": "912-741-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 INSTITUTE ST",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580920",
            "telephone_number": "912-741-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUDEN FAIRFAX CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "COLBY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "912-741-8980",
        "authorized_official_credential": "REP"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "loudounfairaxcarellc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Home Health",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "direct",
            "address_1": "207 Institute St",
            "city": "Statesboro",
            "state": "GA",
            "country_code": "US",
            "postal_code": "304580920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Louden Fairfax Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.