The Fairways

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2201R Issued in OH

Legal business name

THE FAIRWAYS

Practice address

30630 Ridge Rd
Wickliffe, OH 44092-1166

Phone

(440) 943-2050

Fax

(440) 943-0403

NPI assigned

Dec 23, 2009

Organization subpart

Yes

Parent organization

BROOKDALE SENIOR LIVINGAs reported in NPPES

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

Authorized official

Name

Mr. Jeffrey Knight

Title

Executive Director

Phone

(440) 943-2050

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261526400000",
    "number": "1720317605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30630 RIDGE RD",
            "city": "WICKLIFFE",
            "state": "OH",
            "postal_code": "440921166",
            "telephone_number": "440-943-2050",
            "fax_number": "440-943-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30630 RIDGE RD",
            "city": "WICKLIFFE",
            "state": "OH",
            "postal_code": "440921166",
            "telephone_number": "440-943-2050",
            "fax_number": "440-943-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FAIRWAYS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROOKDALE SENIOR LIVING",
        "enumeration_date": "2009-12-23",
        "last_updated": "2009-12-23",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "440-943-2050",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "2201R",
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "OH",
            "license": "2201R",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Wickliffe, OH
• Providers in Wickliffe, OH by specialty
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; 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.