Fairfax Manor LLC
NPI 1497841324 · Nursing Facility/Intermediate Care Facility · Sallisaw, OK
Fairfax Manor LLC is a Nursing Facility/Intermediate Care Facility organization in Sallisaw, OK (NPI 1497841324).
Provider details
- NPI number
- 1497841324
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Justin Mcgrew, Business Management(918) 775-4439
- License
- NH5702-5702 (OK)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-05
- Last updated
- 2007-08-24
Frequently asked questions
- What is Fairfax Manor LLC's NPI number?
- Fairfax Manor LLC's National Provider Identifier (NPI) is 1497841324, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fairfax Manor LLC?
- Fairfax Manor LLC is classified in the NPPES registry as Nursing Facility/Intermediate Care Facility (Nursing & Custodial Care Facilities).
- Where is Fairfax Manor LLC located?
- Fairfax Manor LLC's practice location on file with NPPES is 210 East Choctaw Street, Sallisaw, OK 74955-0429.
- What is Fairfax Manor LLC's phone number?
- The practice phone number listed in the NPPES registry for Fairfax Manor LLC is (918) 775-4439.
- Who is the authorized official for Fairfax Manor LLC?
- The authorized official listed on Fairfax Manor LLC's NPPES record is Justin Mcgrew, Business Management. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fairfax Manor LLC's NPI active?
- Yes — Fairfax Manor LLC's NPI (1497841324) is active in the NPPES registry as of the last update on 2007-08-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.