Fairfax Place Transportation, LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

FAIRFAX PLACE TRANSPORTATION, LLC

Practice address

9014 Cedar Ave
Cleveland, OH 44106-2932

Phone

(216) 795-1363

Fax

(216) 795-8060

NPI assigned

Feb 26, 2014

Last updated

Feb 26, 2014By 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

Mr. Henry Herman Edwards Jr.

Title

Director

Phone

(216) 795-1363

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393372800000",
    "number": "1902221062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9014 CEDAR AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441062932",
            "telephone_number": "216-795-1363",
            "fax_number": "216-795-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9014 CEDAR AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441062932",
            "telephone_number": "216-795-1363",
            "fax_number": "216-795-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFAX PLACE TRANSPORTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-26",
        "last_updated": "2014-02-26",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "HERMAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "216-795-1363",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mari Elizabeth Fair
• Rachelle Fair
• Gwendolyn Faircloth
• Fairfax Place at Home
• Fairfax Place at Home NM, LLC
• Asha Fairley
• Tasha Lakee Fairley, LSW
• Chenita Arlene Fairly, RN
• Annette Fairrow
• Fairview Cleveland Clinic Hospital

• Non-emergency Medical Transport (VAN) in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Non-emergency Medical Transport (VAN) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.