Fairview Fellowship Home and Village – Nursing Facility/Intermediate Care Facility, NPI 1568469740

Fairview Fellowship Home and Village is a healthcare provider. based in Fairview, Oklahoma. specializing in Nursing Facility/Intermediate Care Facility. The organization holds a License No. NH4701 (OK). The NPI Number for Fairview Fellowship Home and Village is 1568469740

Main info

Organization
Name
Fairview Fellowship Home and Village
NPI
1568469740
Phone
(580) 227-3783
Address
605 E STATE RD
Authorized Official
MR. MICHAEL G MILLER EXECUTIVE DIRECTOR NHA
Enumeration Date
4 July 2005
Last Update Date
11 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness90
Years active:20State licenses:1Digital endpoints

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Provider Addresses for Fairview Fellowship Home and Village

  • East State Road, Fairview, Major County, Oklahoma, 73737, United States

    FAIRVIEW, OK 737371455

    Phone: (580) 227-3783

    Fax: (580) 227-3328

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2002-11-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20021106000007OSkilled Nursing FacilityOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73737)

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Reviews

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Frequently asked questions

How do payers reference Fairview Fellowship Home and Village?
For Fairview Fellowship Home and Village, use NPI 1568469740 as the unique 10-digit identifier.
Active or inactive — what applies to Fairview Fellowship Home and Village?
You should see Fairview Fellowship Home and Village as active in CMS-hosted NPPES data.
What clinical focus is listed for Fairview Fellowship Home and Village?
At a glance, Fairview Fellowship Home and Village is tied to Nursing Facility/Intermediate Care Facility. Clinical services aligned with this taxonomy classification.
Is Fairview Fellowship Home and Village located near Fairview?
Fairview Fellowship Home and Village currently maps to Fairview, Oklahoma in this extract.
Can I trust this NPI listing for Fairview Fellowship Home and Village?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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