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FAIRVIEW HOUSING MANAGEMENT CORP NPI 1376064147


NPI Information

NPI: 1376064147
Provider Name: FAIRVIEW HOUSING MANAGEMENT CORP

Doing Business As: BRISTOL LIFESTYLE RECOVERY

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
261 NORTH ST
BRISTOL, VA
ZIP 24201
Phone: (276) 821-8030
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FAIRVIEW HOUSING MANAGEMENT CORP is a residential treatment facility, intellectual and/or developmental disabilities in Bristol, VA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. FAIRVIEW HOUSING MANAGEMENT CORP NPI is 1376064147. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bristol Lifestyle Recovery.

The provider's business location address is:

261 NORTH ST
BRISTOL, VA
ZIP 24201-275
Phone: (276) 821-8030

The provider's authorized official is Robert Jennings Garrett .
The authorized official title is President and has the following contact phone number (423) 612-2995.

The enumeration date for this NPI number is 7/3/2017 and was last updated on 9/19/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)LI0000000004235TENNESSEENo
2251S00000XCommunity/Behavioral HealthNo
3320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.