NPI 1568469740 · live from the CMS NPI Registry
Fairview Fellowship Home For Senior Citizens, INC.
Nursing Facility/Intermediate Care Facility in Fairview, OK. National Provider Identifier 1568469740, active.
NPI record
| NPI | 1568469740 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nursing Facility/Intermediate Care Facility 313M00000X |
| Practice location | 605 E State Rd, Fairview, OK 73737 |
| Practice phone | 580-227-3783 |
| Enumerated | July 4, 2005 |
| Last updated | September 11, 2025 |
| Authorized official | Michael Miller, Executive Director |
| Other names | Fairview Fellowship Home And Village |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility | 314000000X | NH4701 (OK) |
| Nursing Facility/Intermediate Care Facility primary | 313M00000X | NH4701 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.