Fairfield Nursing & Rehab, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

030829 Issued in MO

Legal business name

FAIRFIELD NURSING & REHAB, INC.

Doing business as

The Abbey Care Center

Practice address

5303 Bermuda Dr
Saint Louis, MO 63121-1407

Phone

(314) 385-0910

Fax

(314) 385-7179

NPI assigned

Sep 21, 2005

Last updated

Oct 21, 2011By 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. James C Lincoln

Title

Shareholder

Phone

(573) 746-7100

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• The Abbey Care Center Doing business as

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319155200000",
    "number": "1942296454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5303 BERMUDA DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631211407",
            "telephone_number": "314-385-0910",
            "fax_number": "314-385-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5303 BERMUDA DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631211407",
            "telephone_number": "314-385-0910",
            "fax_number": "314-385-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD NURSING & REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-21",
        "last_updated": "2011-10-21",
        "status": "A",
        "authorized_official_last_name": "LINCOLN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SHAREHOLDER",
        "authorized_official_telephone_number": "573-746-7100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "030829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103096202",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID",
            "identifier": "16883730",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Abbey Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Judy Cohen Faintich, LPC
• Curtis Fair, CRNA
• Viola Fair
• Jacqueline Fairchild, MD
• Lindsay Fairfax, MD
• Erin Fairless, LPC
• Korre Leigh Fairman, DO
• Fairview Heights Medical Group SC (BJC Medical Group of Illinois)
• Fairview Heights Medical Group SC
• Fairview Heights Medical Group SC (North County Endocrinology)

• Skilled Nursing Facility in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.