Organization Active NPI

Fairlane Home Health Care Agency Inc

  • Home Health Agency
  • Detroit, MI
National Provider Identifier
1902124530
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FAIRLANE HOME HEALTH CARE AGENCY INC
Practice address
14847 Gratiot Ave
Suite a
Detroit, MI 48205-1942
Phone
(313) 588-2403
NPI assigned
May 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Authorized official

Name
Talal H SabrahNPI 1124668264
Title
President
Phone
(313) 588-2403

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14847 Gratiot Ave
Suite a
Detroit, MI 48205-1942

Mailing address

14847 Gratiot Ave Ste a
Detroit, MI 48205-1942
Phone (313) 588-2403

National Provider Directory

National Provider Directory

Locations

1903 Monroe St
Dearborn, MI 48124
Phone (313) 244-0630

14847 Gratiot Ave
#A
Detroit, MI 48205
Phone (313) 588-2403

14847 Gratiot Ave
Ste A
Detroit, MI 48205
Phone (313) 588-2403

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1902124530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14847 GRATIOT AVE STE A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482051942",
            "telephone_number": "313-588-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14847 GRATIOT AVE",
            "address_2": "SUITE A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482051942",
            "telephone_number": "313-588-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRLANE HOME HEALTH CARE AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "SABRAH",
        "authorized_official_first_name": "TALAL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-588-2403"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.