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Organization Active NPI

Fairway Community Home

  • Intellectual Disabilities Intermediate Care Facility
  • Thibodaux, LA
National Provider Identifier
1962712356
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
19G624 Issued in LA
Legal business name
FAIRWAY COMMUNITY HOME
Practice address
602 Fairway Dr
Thibodaux, LA 70301-3726
Phone
(337) 546-0667
Fax
(337) 546-6827
NPI assigned
Oct 19, 2010
Organization subpart
Yes
Parent organization
SOUTH LOUISIANA COMMUNITY HOMES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

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

Authorized official

Name
Mr. Frankie Joseph Lafleur
Title
Owner
Phone
(337) 546-0667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 19G624 LA Primary

Addresses

Primary practice location

602 Fairway Dr
Thibodaux, LA 70301-3726

Mailing address

246 Dan Dr
Eunice, LA 70535-6860
Phone (337) 546-0667

National Provider Directory

National Provider Directory
Tax ID family
Thibodaux Community Home5 organizations share this tax ID, including this one
Part of
Thibodaux Community Home

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1962712356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 DAN DR",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "705356860",
            "telephone_number": "337-546-0667",
            "fax_number": "337-546-6827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 FAIRWAY DR",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703013726",
            "telephone_number": "337-546-0667",
            "fax_number": "337-546-6827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRWAY COMMUNITY HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH LOUISIANA COMMUNITY HOMES, INC.",
        "enumeration_date": "2010-10-19",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "LAFLEUR",
        "authorized_official_first_name": "FRANKIE",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-546-0667",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "LA",
            "license": "19G624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; 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.