Provider Demographics
NPI:1730889726
Name:FAIRCARE HOME HEALTH & TRANSPORTATION
Entity type:Organization
Organization Name:FAIRCARE HOME HEALTH & TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIEASURE
Authorized Official - Middle Name:
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-922-1181
Mailing Address - Street 1:1821 SUMMIT RD STE 300J
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45237-2816
Mailing Address - Country:US
Mailing Address - Phone:513-960-2486
Mailing Address - Fax:
Practice Address - Street 1:1821 SUMMIT RD STE 300J
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45237-2816
Practice Address - Country:US
Practice Address - Phone:513-960-2486
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-08
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)