Fairfield Health Care Center

LBN: Fairfield Home, Llc
Fairfield Health Care Center is an health care organization with primary practice located at 117 Bellfield Road , Ridgeway SC 29130-8261. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Fairfield Home, Llc can be contacted via phone (803) 337-2257, or through Rudd, Levi via phone (786) 358-5200.

Contact Information

Primary practice address
117 Bellfield Road Ridgeway SC 29130-8261
Phone: (803) 337-2257
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rudd, Levi
Phone: (786) 358-5200

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH-776
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0978 South Carolina

Profile Details

NPI number 1568450252
LBN Legal business name Fairfield Home, Llc
DBA Doing business as Fairfield Health Care Center
Authorized official Rudd, Levi
Entity Organization
Organization subpart 1 No
Enumeration date Oct 7th, 2005
Last updated Apr 20th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568450252 NPPES
South Carolina MEDICAID 0776NF

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