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Fairfax Manor LLC

Nursing Facility/Intermediate Care Facility in Sallisaw, OK · enumerated 2006 · authorized official Justin Mcgrew, Business Management.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1497841324

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Registry record

Entity type Organization (Type 2)
Legal business name Fairfax Manor LLC
Practice address 210 East Choctaw Street, Sallisaw, OK, 74955
Fax (918) 775-9242
Enumeration date Oct 5, 2006
Last updated in NPPES Aug 24, 2007

Taxonomy & classification

313M00000X Nursing Facility/Intermediate Care Facility Nursing & Custodial Care Facilities · License NH5702-5702 (OK) Primary

Authorized official

Name Justin Mcgrew
Title Business Management

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.

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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.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-08-24.