Organization Active NPI

Fairlife Support Solutions, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Odenton, MD
National Provider Identifier
1891448411
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
FAIRLIFE SUPPORT SOLUTIONS, INC.
Practice address
2288 Blue Water Blvd Ste 330
Odenton, MD 21113-3311
Phone
(301) 326-6103
NPI assigned
Feb 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Authorized official

Name
Mr. Kofi Klu
Title
Ceo/Director of Nursing
Phone
(301) 326-6103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

2288 Blue Water Blvd Ste 330
Odenton, MD 21113-3311

Mailing address

2288 Blue Water Blvd Ste 330
Odenton, MD 21113-3311

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@fairlifesupport.com

National Provider Directory

National Provider Directory

Locations

2288 Blue Water Blvd
Ste 330
Odenton, MD 21113
Phone (301) 326-6103

2288 Blue Water Blvd
Ste 326
Odenton, MD 21113

Interoperability endpoints

  • Direct secure messaging: info@fairlifesupport.com

NPI Registry JSON

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1891448411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2288 BLUE WATER BLVD STE 330",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211133311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2288 BLUE WATER BLVD STE 330",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211133311",
            "telephone_number": "301-326-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRLIFE SUPPORT SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-02",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "KLU",
        "authorized_official_first_name": "KOFI",
        "authorized_official_title_or_position": "CEO/DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "301-326-6103",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@fairlifesupport.com",
            "affiliation": "N",
            "address_1": "2288 Blue Water Blvd Ste 330",
            "city": "Odenton",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211133311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Odenton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.