Fairway Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC1727 Issued in NC

Legal business name

FAIRWAY HOME CARE LLC

Practice address

534 N Liberty St
Winston Salem, NC 27101-2911

Phone

(336) 724-3390

Fax

(336) 724-3392

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Antonio Younger

Title

Administrator

Phone

(336) 724-3390

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841336104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 N LIBERTY ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 N LIBERTY ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012911",
            "telephone_number": "336-724-3390",
            "fax_number": "336-724-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRWAY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNGER",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "336-724-3390",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC1727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409282",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600620",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raquia Fair, CNA1/2 MT,
• Andrew Thomas Fairchild, MD
• Brittain Ciera Faircloth, FNP-C
• Elizabeth Bivens Faircloth, LPT
• Niki S Faircloth, PT, DPT, ATC
• Tiffany Nicole Faison
• Faith Seeds Community Reentry Coalition
• Faithful Companion Group Home (Patrecih Taylor)
• Sally Falahat
• Robert Newton Falge, MD

• Home Health Agency in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.