FAIRHAVEN OPCO, LLC (NPI# 1194180489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194180489 |
| Entity Type | Organization |
| Organization Name | FAIRHAVEN OPCO, LLC |
| Other Organization Name | MADISON PARK HEALTHCARE |
| Practice Address |
700 Madison Ave Huntington WV 25704-2630 |
| Mailing Address |
121 S Water Ave Gallatin TN 37066-2902 |
| Practice Telephone | 3045520032 |
| Practice Fax Number | 3045221481 |
| Mailing Telephone | 4232902837 |
| Mailing Fax Number | 8882783162 |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2015-12-31 |
| Authorized Official Name | MR. ISAAC S DOLE (MANAGER) |
| Authorized Official Telephone | 3127248950 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Madison Park Healthcare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295111565 | Fairhaven Opco, LLC | Skilled Nursing Facility | 700 Madison Ave, Huntington, WV 25704-2630 | 2015-08-10 |
| Street Address |
700 MADISON AVE |
| City | HUNTINGTON |
| State | WV |
| Zip Code | 25704-2630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962594630 | Fairhaven Rest Home, Inc | Skilled Nursing Facility | 700 Madison Ave, Huntington, WV 25704-2630 | 2006-09-29 |
| 1265890610 | Adam Forrest | Occupational Therapist | 700 Madison Ave, Huntington, WV 25704-2630 | 2016-01-31 |
| 1295111565 | Fairhaven Opco, LLC | Skilled Nursing Facility | 700 Madison Ave, Huntington, WV 25704-2630 | 2015-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354161 | Sherry Jean Short | Technician | 315 1/2 W 13th Street, Huntington, WV 25704 | 2020-10-22 |
| 1063029940 | Kathern Sullivan | Technician | 2950 Apt. B1 Auburn Rd, Huntington, WV 25704 | 2020-09-25 |
| 1932713229 | John Webb | Technician | 3717 Lot 17 Rte. 75, Huntington, WV 25704 | 2020-09-03 |
| 1679114458 | Betty Bentley | Technician | 1588 Spring Valley Drive, Huntington, WV 25704 | 2019-10-03 |
| 1568948958 | Jessica E Hall | Assistant Behavior Analyst | 4614 Waverly Road, Huntington, WV 25704 | 2018-07-18 |
| 1538662457 | Abayomi Adeyi | Nurse Practitioner | Huntington Va Medical Center 1540 Spring Valley Drive, Huntington, WV 25704 | 2018-03-16 |
| 1851807242 | Shirley Meldave Ross | Technician | 1591 Buffalo Creek Road, Huntington, WV 25704 | 2017-12-20 |
| 1245772045 | Emily Marie Miller | Massage Therapist | 3637 Hughes St, Huntington, WV 25704 | 2016-11-09 |
| 1265785737 | William M Jennings IIi | Internal Medicine | 1448 10th Avenue, Suite 100, Huntington, WV 25704 | 2012-10-22 |
| 1477709921 | Huntington Va Medical Center | General Acute Care Hospital | 540 Spring Valley Dr, Huntington, WV 25704 | 2008-08-15 |
| Find all providers in zip 25704 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265056287 | Daniel Becker | Physical Therapist | 2904 Wal Mart Dr, Huntington, IN 46750-8058 | 2020-06-05 |
| 1932729209 | Sarah Haddox | Physical Therapist | 371 Navajo Trl, Huntington, WV 25705-4113 | 2020-04-16 |
| 1588299630 | Tara Narine | Physical Therapist | 106 Woodhull Rd, Huntington, NY 11743-3736 | 2020-03-10 |
| 1902446552 | Michaela Martek Mejia | Physical Therapist | 1 Primrose Ln, Huntington, NY 11743-1315 | 2020-01-12 |
| 1528600814 | Cameron Yoho Brown | Physical Therapist | 2919 Winters Rd, Huntington, WV 25702-1228 | 2019-10-08 |
| 1013408517 | Derrick A White | Physical Therapist | 2240 5th Ave Ste 101, Huntington, WV 25703-1290 | 2018-05-21 |
| 1043729213 | John Joseph Armstrong | Physical Therapist | 18 Horizon Dr, Huntington, NY 11743-4411 | 2017-09-20 |
| 1306362033 | Nicole Olofson | Physical Therapist | 775 New York Ave Ste 106, Huntington, NY 11743-4412 | 2017-08-15 |
| 1669911822 | Brian Mathew | Physical Therapist | 54 Manchester Rd, Huntington, NY 11743-5532 | 2017-02-20 |
| 1720538382 | Professional Occupational & Physical Therapy, Pllc | Physical Therapist | 755 New York Ave Ste 106, Huntington, NY 11743-4240 | 2016-10-07 |
| Find all providers in HUNTINGTON | ||||
| City | HUNTINGTON |
| Zip Code | 25704 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.