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Contact Information

FAERIELAND LLC
470 EDGEWOOD ST FL 2
HARTFORD, CT06112-1917
 Phone: 860-814-0771
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
 

Adult Care Home

311ZA0620X
 

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for FAERIELAND LLC

NPI Number 1376163725
LBN Legal business name FAERIELAND LLC
Authorized official SAPPHIRE FAIRCHILD - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/24/2020
Last updated 06/14/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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