MS. DEMETRIA RENEE FAIRLEY
NPI 1730507989
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Rosharon, TX

NPI Status: Active since April 04, 2014

Contact Information

8310 ROSE PETALS LN
ROSHARON, TX
ZIP 77583
Phone: (346) 305-1688

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  • Individual
  • Female
  • Community Based Residential Treatment Fa...

About DEMETRIA FAIRLEY

This page provides the complete NPI Profile along with additional information for Demetria Fairley, a provider established in Rosharon, Texas with a medical specialization in Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1730507989 assigned on April 2014. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1730507989
Provider Name
MS. DEMETRIA RENEE FAIRLEY
Gender
Female
Entity Type
Individual
Location Address
8310 ROSE PETALS LN ROSHARON, TX 77583
Location Phone
(346) 305-1688
Mailing Address
8310 ROSE PETALS LN ROSHARON, TX 77583
Mailing Phone
(346) 305-1688
Is Sole Proprietor?
Yes
Enumeration Date
04-04-2014
Last Update Date
03-15-2021
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Location Map

Secondary Locations

  • 619 Rollingbrook St Apt. 1802
    Baytown, TX 77521
    (512) 786-9470

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1315P00000XNursing & Custodial Care Facilities

Intermediate Care Facility, Intellectual Disabilities

 
2373H00000XNursing Service Related Providers

Day Training/Habilitation Specialist

 
3385H00000XRespite Care Facility

Respite Care

 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1730507989
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
276010014916
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 6 + 0 + 1 + 0 + 0 + 1 + 4 + 9 + 1 + 6 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1730507989 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730507989, enumerated in the NPI registry as an "individual" on April 04, 2014

The provider is located at 8310 Rose Petals Ln Rosharon, Tx 77583 and the phone number is (346) 305-1688

The provider's speciality is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X

This NPI record was last updated on April 04, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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