FAIRWEATHER MANOR – NPI #1821210386
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

FAIRWEATHER MANOR is a community based residential treatment facility located in HOT SPRINGS, AR. NPPES has assigned the NPI number 1821210386 to FAIRWEATHER MANOR on May 03, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FAIRWEATHER MANOR” is a dba name, the actual legal business name for this organization is SMALL GROUP THERAPY, INC.. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

The NPI profile was previously updated about 18 years ago on Jun 24, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FAIRWEATHER MANOR below.

NPI Profile for
SMALL GROUP THERAPY, INC.

NPI Number
1821210386
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SMALL GROUP THERAPY, INC.
Doing Business As (dba): FAIRWEATHER MANOR
Primary location
320 WHITTINGTON AVENUE
HOT SPRINGS, AR 71901
Phone: (501) 623-3477 Fax: (501) 624-7498
Mailing address
311 WHITTINGTON AVENUE
HOT SPRINGS, AR 71901-3407
Phone: (501) 623-3477 Fax: (501) 624-7498
Organization Subpart
No
Authorized Official
WANDA RAPER
CHIEF EXECUTIVE OFFICER
Phone: (501) 623-3477
Updated
Identifiers

Identifiers for FAIRWEATHER MANOR

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDAR130817732
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)
AR 0000

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.