MS. DEMETRIA RENEE FAIRLEY
NPI 1730507989
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Rosharon, TX

Q: What is Demetria Fairley's NPI number?

The NPI number for Demetria Fairley is 1730507989. It was assigned to this individual provider in the NPPES registry on April 4, 2014.

Q: What is Demetria Fairley's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Q: When was this NPI record last updated?

The NPPES record for Demetria Fairley was last updated on March 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 04, 2014

8310 ROSE PETALS LN, ROSHARON, TX 77583(346) 305-1688 Get Directions Write a Review

NPPES record last updated: March 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Demetria Renee Fairley NPPES

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

MS. DEMETRIA RENEE FAIRLEY (NPI 1730507989) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Rosharon, Texas and active in the NPI registry since April 2014. She maintains a secondary practice location in Baytown.

NPPES Registry Identity

NPI1730507989

Entity TypeIndividualFemale

Primary Taxonomy320900000X

Provider Legal NameMS. DEMETRIA RENEE FAIRLEY

Location Address8310 ROSE PETALS LNRosharon, TX 77583-1907

Mailing Address8310 Rose Petals LnRosharon, TX 77583-1907 · (346) 305-1688

Phone(346) 305-1688

Sole ProprietorYes

Enumeration DateApril 4, 2014

Last NPPES UpdateMarch 15, 2021

NPPES CertifiedMarch 15, 2021

✔ NPI 1730507989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Also ListedIntermediate Care Facility, Intellectual DisabilitiesTaxonomy 315P00000X

Also ListedDay Training/Habilitation SpecialistTaxonomy 373H00000X

Also ListedRespite CareTaxonomy 385H00000X

8310 ROSE PETALS LN, Rosharon, TX 77583

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Secondary Practice Location 1

Location 1619 Rollingbrook St, Apt. 1802Baytown, TX 77521-4061 · Phone (512) 786-9470

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 Demetria Fairley's NPI number?

The NPI number for Demetria Fairley is 1730507989. It was assigned to this individual provider in the NPPES registry on April 4, 2014.

Where is Demetria Fairley located?

Demetria Fairley practices at 8310 Rose Petals Ln, Rosharon, TX 77583. The listed phone number is (346) 305-1688.

What is Demetria Fairley's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Demetria Fairley was last updated on March 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.