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Fairfax Manor LLC

Fairfax Manor LLC is a healthcare organization registered as Nursing Facility/Intermediate Care Facility in Sallisaw, OK, holding Type 2 (organization) NPI 1497841324 since 2006. The authorized official on file is Justin Mcgrew, Business Management.

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NPI 1497841324
Entity type Organization (Type 2)
Legal business name Fairfax Manor LLC
Practice address 210 EAST CHOCTAW STREET, Sallisaw, OK, 74955
Phone 9187754439
Fax 9187759242
Enumeration date 2006-10-05
Last updated in NPPES 2007-08-24

Authorized official

Name Justin Mcgrew
Title Business Management
Phone 9187754439

Taxonomy & classification

Taxonomy code Specialty Primary License State
313M00000X Nursing Facility/Intermediate Care Facility Primary NH5702-5702 OK
Copy-ready billing details
Provider: Fairfax Manor LLC
NPI: 1497841324
Taxonomy: 313M00000X (Nursing Facility/Intermediate Care Facility)
Address: 210 EAST CHOCTAW STREET, Sallisaw, OK, 74955

Providers at this address

NPI Name Type Specialty Location
1689775660 Onhl Home Care Services, LLC Organization Developmentally Disabled Services Day Training Agency Sallisaw, OK
1093816100 Okmulgee Terrace, LLC Organization Intellectual Disabilities Intermediate Care Facility Sallisaw, OK
1124129176 Hays House, LLC Organization Nursing Facility/Intermediate Care Facility Sallisaw, OK
1134220213 Pawhuska Nursing Home, LLC Organization Nursing Facility/Intermediate Care Facility Sallisaw, OK
1770684508 Oklahoma Nursing Homes, Inc. Organization Durable Medical Equipment & Medical Supplies Sallisaw, OK
1932291135 Onhl Home Care Services, LLC Organization Registered Nurse Sallisaw, OK
1114019197 Oak Grove Manor Organization Skilled Nursing Facility Sallisaw, OK
1588756019 Onhl Home Care Services, LLC Organization Case Management Agency Sallisaw, OK

Verify this record

Cross-check NPI 1497841324 against the authoritative CMS record: view Fairfax Manor LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What is the NPI number for Fairfax Manor LLC?
The NPI for Fairfax Manor LLC is 1497841324, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Fairfax Manor LLC?
NPPES lists Justin Mcgrew (Business Management) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-08-24.