Provider Demographics
NPI:1528397676
Name:FAIRBAIRN ENTERPRISES LLC
Entity Type:Organization
Organization Name:FAIRBAIRN ENTERPRISES LLC
Other - Org Name:AMERICARE HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELEANOR
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-942-2840
Mailing Address - Street 1:109 N GRAHAM ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-2328
Mailing Address - Country:US
Mailing Address - Phone:919-942-2840
Mailing Address - Fax:919-967-0710
Practice Address - Street 1:109 N GRAHAM ST
Practice Address - Street 2:SUITE 102
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27516-2328
Practice Address - Country:US
Practice Address - Phone:919-942-2840
Practice Address - Fax:919-967-0710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-21
Last Update Date:2009-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3922253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care