FAIR CHANCE LLC
NPI 1184496895
In Home Supportive Care in Gastonia, NC

Active since October 25, 2023
909 BOLIVIA DR, GASTONIA, NC 28054(980) 208-8678 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Fair Chance Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAIR CHANCE LLC (NPI 1184496895) is a healthcare organization registered as an in home supportive care in Gastonia, North Carolina and active in the NPI registry since October 2023. The organization lists Vianjae Ayana Johnson, President Of Company, as its authorized official.

NPPES Registry Identity

NPI1184496895
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameFAIR CHANCE LLC
Location Address909 BOLIVIA DRGastonia, NC 28054-4310
Mailing Address1415 Chelveston DrCharlotte, NC 28208-6911 · (980) 208-8678
Organization SubpartNo
Authorized OfficialVianjae Ayana JohnsonPresident Of Company · (980) 208-8678
Enumeration DateOctober 25, 2023
NPPES CertifiedOctober 25, 2023
NPI 1184496895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition

An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

909 BOLIVIA DR, Gastonia, NC 28054

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fair Chance LLC's NPI number?

The NPI number for Fair Chance LLC is 1184496895. It was assigned to this organization in the NPPES registry on October 25, 2023.

Where is Fair Chance LLC located?

Fair Chance LLC is located at 909 Bolivia Dr, Gastonia, NC 28054. The listed phone number is (980) 208-8678.

What is Fair Chance LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Fair Chance LLC was last updated on October 25, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.