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NPISignal

Individual Healthcare Provider

Demetria Renee Fairley

NPI Record: ActiveCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
NPI1730507989
Rosharon, Texas

Provider's NPPES record last updated: March 15, 2021

Overview

Entity Type
Individual Healthcare Provider
NPI
1730507989
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Practice Location
Rosharon, Texas
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 20, 2026, 7:44 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

    Residential Treatment Facilities

    Primary

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

    Taxonomy code 320900000X
  • Intermediate Care Facility, Intellectual Disabilities

    Nursing & Custodial Care Facilities

    An intermediate care facility providing services for individuals with intellectual disabilities.

    Taxonomy code 315P00000X
  • Day Training/Habilitation Specialist

    Nursing Service Related Providers

    Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

    Taxonomy code 373H00000X
  • Respite Care

    Respite Care Facility

    Definition to come.

    Taxonomy code 385H00000X

Practice Locations

Practice Location

8310 Rose Petals Ln

Rosharon, Texas 77583-1907

Phone: (346) 305-1688

Additional Practice Location

619 Rollingbrook St

Apt. 1802

Baytown, Texas 77521-4061

Phone: (512) 786-9470

Record Information

Enumeration Date
April 4, 2014
Provider's NPPES Record Last Updated
March 15, 2021
Certification Date
March 15, 2021
NPISignal NPPES Dataset
August 2026

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