FAIRLEY SUPPORT GROUP HOME INC.
NPI 1710170238
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Maxton, NC

Q: What is Fairley Support Group Home Inc.'s NPI number?

The NPI number for Fairley Support Group Home Inc. is 1710170238. It was assigned to this organization in the NPPES registry on August 20, 2007.

Q: What is Fairley Support Group Home Inc.'s specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Active since August 20, 2007

12519 US HWY 501 SOUTH, MAXTON, NC 28364(910) 844-1880(910) 844-1880 Get Directions Write a Review

NPPES record last updated: August 20, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Fairley Support Group Home Inc. NPPES

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

FAIRLEY SUPPORT GROUP HOME INC. (NPI 1710170238) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Maxton, North Carolina and active in the NPI registry since August 2007. The organization lists Tony Melvin Fairley, Administrator/ceo, as its authorized official.

NPPES Registry Identity

NPI1710170238

Entity TypeOrganization

Primary Taxonomy320600000X

Legal Business NameFAIRLEY SUPPORT GROUP HOME INC.

Location Address12519 US HWY 501 SOUTHMaxton, NC 28364

Mailing AddressPo Box 182, 12519 Us Hwy 501 SouthMaxton, NC 28364-0182 · (910) 844-1880 · Fax (910) 844-1880

Phone(910) 844-1880

Fax(910) 844-1880

Organization SubpartNo

Authorized OfficialTony Melvin FairleyAdministrator/ceo · (910) 844-1880

Enumeration DateAugust 20, 2007

✔ NPI 1710170238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320600000X

License✔ Licensed in NC · MHL-078-174

Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

12519 US HWY 501 SOUTH, Maxton, NC 28364

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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 Fairley Support Group Home Inc.'s NPI number?

The NPI number for Fairley Support Group Home Inc. is 1710170238. It was assigned to this organization in the NPPES registry on August 20, 2007.

Where is Fairley Support Group Home Inc. located?

Fairley Support Group Home Inc. is located at 12519 Us Hwy 501 South, Maxton, NC 28364. The listed phone number is (910) 844-1880.

What is Fairley Support Group Home Inc.'s specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Fairley Support Group Home Inc. was last updated on August 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.