FAIRUZA ZAN TRUST NPI 1508449372

NPI Information

  • NPI: 1508449372
  • Provider Name: FAIRUZA ZAN TRUST
  • Classification: Early Intervention Provider Agency - 252Y00000X
  • Entity Type: Organization
  • Address: 6569 HIGHWAY 305 N
    OLIVE BRANCH, MS
    ZIP 38654
  • Phone: (901) 870-1246

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NPI Details

FAIRUZA ZAN TRUST is an early intervention provider agency in Olive Branch, MS. The provider is early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children's needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. FAIRUZA ZAN TRUST NPI is 1508449372. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6569 HIGHWAY 305 N
OLIVE BRANCH, MS
ZIP 38654-044
Phone: (901) 870-1246

The provider's authorized official is Iris Gray .
The authorized official title is Ceo and has the following contact phone number (901) 870-1246.

The enumeration date for this NPI number is 4/29/2021 and was last updated on 9/8/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225X00000XOccupational TherapistNo
2252Y00000XEarly Intervention Provider AgencyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101820347MEDICAIDMISSISSIPPI

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: 11/21/2025

NPI Synchronization or Removal

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