The Fairfax House Inc

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

THE FAIRFAX HOUSE INC

Practice address

6955 Fairfax Dr
Port Richey, FL 34668-5643

Phone

(727) 843-9501

Fax

(727) 843-9501

NPI assigned

Feb 11, 2022

Organization subpart

No

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

Authorized official

Name

Mr. David Vincent Tapp

Title

Director

Phone

(727) 364-4116

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1740934389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6955 FAIRFAX DR",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346685643",
            "telephone_number": "727-364-4116",
            "fax_number": "727-843-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6955 FAIRFAX DR",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346685643",
            "telephone_number": "727-843-9501",
            "fax_number": "727-843-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FAIRFAX HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "TAPP",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "727-364-4116",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Port Richey, FL
• Providers in Port Richey, FL by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.