Fairway Home Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

FAIRWAY HOME CARE, LLC

Practice address

13437 Water Crest Dr
Fishers, IN 46038-5501

Phone

(317) 937-6174

NPI assigned

Sep 6, 2025

Last updated

Sep 6, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jamel Perryman

Title

Owner, Ceo

Phone

(317) 937-6174

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1757116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757116800000",
    "number": "1790665974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13437 WATER CREST DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460385501",
            "telephone_number": "317-937-6174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13437 WATER CREST DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460385501",
            "telephone_number": "317-937-6174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRWAY HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-06",
        "last_updated": "2025-09-06",
        "certification_date": "2025-09-06",
        "status": "A",
        "authorized_official_last_name": "PERRYMAN",
        "authorized_official_first_name": "JAMEL",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "317-937-6174"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2025; 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.