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FAIRLIFE HEALTHCARE, LLC
NPI 1801384979
Home Health in Odenton, MD

Active since April 24, 2018
2288 BLUE WATER BLVD STE 330, ODENTON, MD 21113(443) 300-7158 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 7, 2026, Dec 23, 2021, Apr 24, 2018 (3 updates tracked since 2018).

About Fairlife Healthcare, Llc NPPES

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

FAIRLIFE HEALTHCARE, LLC (NPI 1801384979) is a healthcare organization registered as a home health in Odenton, Maryland and active in the NPI registry since April 2018. The organization lists Kofi Klu, Director Of Nursing / Ceo, as its authorized official.

NPPES Registry Identity

NPI1801384979
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameFAIRLIFE HEALTHCARE, LLC
Location Address2288 BLUE WATER BLVD STE 330Odenton, MD 21113-3311
Mailing Address2288 Blue Water Blvd Ste 330Odenton, MD 21113-3311 · (443) 300-7158
Phone(443) 300-7158
Organization SubpartNo
Authorized OfficialKofi KluDirector Of Nursing / Ceo · (301) 326-6103
Enumeration DateApril 24, 2018
Last NPPES UpdateApril 7, 20263 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1801384979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in MD · R4141
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
2288 BLUE WATER BLVD STE 330, Odenton, MD 21113
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Other Identifiers 1

Medicaid5224014900MD

Other Providers at the Same Location NPPES

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

FAIRLIFE SUPPORT SOLUTIONS, INC.
Day Training, Developmentally Disabled Services
2288 BLUE WATER BLVD STE 330
ODENTON, MD 21113
Anne Arundel County (301) 326-6103

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 Fairlife Healthcare, LLC's NPI number?

The NPI number for Fairlife Healthcare, LLC is 1801384979. It was assigned to this organization in the NPPES registry on April 24, 2018.

Where is Fairlife Healthcare, LLC located?

Fairlife Healthcare, LLC is located at 2288 Blue Water Blvd Ste 330, Odenton, MD 21113. The listed phone number is (443) 300-7158.

What is Fairlife Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Fairlife Healthcare, LLC was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.