Fairhaven Opco, Llc, NPI 1295111565
Nursing Facility/Intermediate Care Facility in Huntington, WV, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1295111565
NPI Entity Type Organization
Provider Name Fairhaven Opco, Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 700 Madison Ave, Huntington, WV, US
Provider Mailing Address 121 S Water Ave, Gallatin, TN, US, 370662902
Is Sole Proprietor? No
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Organization Official

Official Name Isaac S Dole
Official Position MANAGER
Phone 312-724-8950

Primary Taxonomy

Taxonomy Code

313M00000X

Taxonomy Name Nursing Facility/Intermediate Care Facility
Classification

Nursing Facility/Intermediate Care Facility

Group

Nursing & Custodial Care Facilities

Description An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

Other Organization Name

Madison Park Healthcare
Doing Business As

Business Address

Fairhaven Opco, Llc
700 Madison Ave

Huntington, WV, US

Phone: 304-552-0032
Fax: 304-522-1481

Mailing Address

Fairhaven Opco, Llc
121 S Water Ave
Gallatin, TN, US
ZIP 370662902
Phone: 423-290-2837

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

314000000X

Nursing & Custodial Care Facilities

Skilled Nursing Facility

No

Other Providers in WV, US

NPI Name Taxonomy Address

1255056628

Jennifer Knight

Individual

Home Health Registered Nurse

829 Fairmont Rd

Morgantown, WV

1154046514

MR. Wayne Matthew Bachelor

Individual

Peer Specialist

1057 6th Ave

Huntington, WV

1730804188

Melissa Jones

Individual

Community Health Worker

200 Association Dr Ste 130

Charleston, WV

1114642568

Gideon Mossor

Individual

Community Health Worker

200 Association Dr Ste 130

Charleston, WV

1982329330

Tanisha Wilson

Individual

Community Health Worker

200 Association Dr Ste 130

Charleston, WV

1164147500

Deloris Ann Hopkins

Individual

Home Health Aide

42 Parrish Ln

Ashford, WV

1255056693

Elizabeth Neal

Individual

Homemaker

1614 S Kanawha St

Beckley, WV

1629793054

Luke Petrice

Individual

Case Manager/Care Coordinator

710 Maple St

Elkins, WV

1588389910

Joshua Riley

Individual

Community Health Worker

200 Association Dr Ste 130

Charleston, WV

1992420319

Karie Morrison

Individual

Personal Care Attendant

10 6th Ave W

Huntington, WV

1275258691

Katelyn Lucas

Individual

Personal Care Attendant

712 Mercer St Ste D

Princeton, WV

1558086975

Jenna Taylor

Individual

Personal Care Attendant

10 6th Ave W

Huntington, WV

1740905165

Tisean Jayree Walker

Individual

Personal Care Attendant

1650 Glenway Ln

Huntington, WV

1922723345

Montana Wallace

Individual

Personal Care Attendant

10 6th Ave W

Huntington, WV

1033834452

Natasha Sharon Sexton

Individual

Personal Care Attendant

400 Bluefield St Lot 16

Wayne, WV

1770208191

Katheryn Joyce Bailey

Individual

Personal Care Attendant

1236 Madison Ave

Huntington, WV

1518682939

Alexis Perry

Individual

Personal Care Attendant

712 Mercer St Ste D

Princeton, WV

1174248587

Stevie Dawn Cline

Individual

Personal Care Attendant

695 Mountaineer Hwy

Mullens, WV

1003531419

Britney Brogan

Individual

School Registered Nurse

267 Midway Rd

Alum Creek, WV

1689399099

Mary Mccullough

Individual

Personal Care Attendant

1599 2nd Ave

Charleston, WV

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