FAIRUZA ZAN TRUST
NPI 1508449372
Early Intervention Provider Agency in Olive Branch, MS

Active since April 29, 2021
6569 HIGHWAY 305 N, OLIVE BRANCH, MS 38654(901) 870-1246 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 8, 2023, Dec 21, 2021, Apr 29, 2021 (3 updates tracked since 2021).

About Fairuza Zan Trust NPPES

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

FAIRUZA ZAN TRUST (NPI 1508449372) is a healthcare organization registered as an early intervention provider agency in Olive Branch, Mississippi and active in the NPI registry since April 2021. The organization lists Iris Gray, Ceo, as its authorized official.

NPPES Registry Identity

NPI1508449372
Entity TypeOrganization
Primary Taxonomy252Y00000X
Legal Business NameFAIRUZA ZAN TRUST
Location Address6569 HIGHWAY 305 NOlive Branch, MS 38654-3044
Mailing Address6569 Highway 305 NOlive Branch, MS 38654-3044 · (901) 870-1246
Organization SubpartNo
Authorized OfficialIris GrayCeo · (901) 870-1246
Enumeration DateApril 29, 2021
Last NPPES UpdateSeptember 8, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2023
NPI 1508449372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEarly Intervention Provider AgencyAgencies
Taxonomy Code252Y00000X
Definition
Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children's needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development.
Also ListedOccupational TherapistTaxonomy 225X00000X
6569 HIGHWAY 305 N, Olive Branch, MS 38654

Other Identifiers 1

Medicaid01820347MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
6569 HIGHWAY 305 N
OLIVE BRANCH, MS 38654

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 Fairuza Zan Trust's NPI number?

The NPI number for Fairuza Zan Trust is 1508449372. It was assigned to this organization in the NPPES registry on April 29, 2021.

Where is Fairuza Zan Trust located?

Fairuza Zan Trust is located at 6569 Highway 305 N, Olive Branch, MS 38654. The listed phone number is (901) 870-1246.

What is Fairuza Zan Trust's specialty?

The primary specialty registered for this NPI is Early Intervention Provider Agency with taxonomy code 252Y00000X.

What insurance does Fairuza Zan Trust accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Fairuza Zan Trust as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fairuza Zan Trust was last updated on September 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.