KAUFMAN STREET WV LLC (NPI# 1346274370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346274370 |
| Entity Type | Organization |
| Organization Name | KAUFMAN STREET WV LLC |
| Other Organization Name | ARBORS AT FAIRMONT |
| Practice Address |
130 Kaufman Dr Fairmont WV 26554-2179 |
| Mailing Address |
111 W Michigan St Milwaukee WI 53203-2903 |
| Practice Telephone | 3043635633 |
| Mailing Telephone | 4149088119 |
| Mailing Fax Number | 4149087105 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2008-03-07 |
| Authorized Official Name | MS. DONNA J MAASSEN (PRIVACY OFFICER) |
| Authorized Official Telephone | 4149088119 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0004212000 | 05 |
| Other Name | Type Code |
|---|---|
| Arbors at Fairmont | Doing Business As Name - Organization |
| Street Address |
130 KAUFMAN DR |
| City | FAIRMONT |
| State | WV |
| Zip Code | 26554-2179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184286502 | Haley Forkey | Occupational Therapist | 130 Kaufman Dr, Fairmont, WV 26554-2179 | 2019-07-05 |
| 1124514310 | Breanna Nicole Nestor | Physical Therapist | 130 Kaufman Dr, Fairmont, WV 26554-2179 | 2018-07-10 |
| 1053807537 | Leigh Thomas | Occupational Therapist | 130 Kaufman Dr, Fairmont, WV 26554-2179 | 2018-07-08 |
| 1538666169 | Julie Renee Chambers | Occupational Therapy Assistant | 130 Kaufman Dr, Fairmont, WV 26554-2179 | 2018-04-10 |
| 1861998486 | Guardian Elder Care At Fairmont LLC | Skilled Nursing Facility | 130 Kaufman Dr, Fairmont, WV 26554-2179 | 2018-04-03 |
| 1629584727 | Qls Fairmont LLC | Skilled Nursing Facility | 130 Kaufman Dr, Fairmont, WV 26554-2179 | 2017-12-27 |
| 1114441045 | Sonya Kay Guthrie | Physical Therapy Assistant | 130 Kaufman Dr, Fairmont, WV 26554-2179 | 2017-08-02 |
| 1922535624 | Brian Witherell | Occupational Therapy Assistant | 130 Kaufman Dr, Fairmont, WV 26554-2179 | 2017-05-12 |
| 1932579075 | Natalie Patton | Speech-Language Pathologist | 130 Kaufman Dr, Fairmont, WV 26554-2179 | 2015-10-01 |
| 1326439522 | Oak Hrc Fairmont LLC | Skilled Nursing Facility | 130 Kaufman Dr, Fairmont, WV 26554-2179 | 2015-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497680 | Vanquisha Clay | Technician | 118 Conaway St, Fairmont, WV 26554 | 2020-11-06 |
| 1851903363 | Denise S Greer | Technician | 1029 Prickett Road, Fairmont, WV 26554 | 2020-08-18 |
| 1730790775 | Darla Lee Mcrobie | Technician | 105 C'anna Square, Fairmont, WV 26554 | 2020-08-13 |
| 1376025718 | Jason Batten | Counselor | 621 Maryland Ave, Fairmont, WV 26554 | 2018-09-02 |
| 1437669066 | Ultimate Health & Wellness, LLC | Naturopath | 2862 Whitehall Blvd, Whitehall, WV 26554 | 2017-10-10 |
| 1457872376 | Michele R Lilley | Nurse Practitioner | 177 Middletown Rd, Ste1, Upc Whitehall Medical, Fairmont, WV 26554 | 2017-06-30 |
| 1477906154 | Rebecca Hayes-merrill | Counselor | 212 Adams St., 3rd Floor, Fairmont, WV 26554 | 2016-07-19 |
| 1790173417 | Dennis Michael Lynch | Counselor | 5 Turf Lane, Fairmont, WV 26554 | 2015-01-05 |
| 1336558725 | Nicole Savage | Home Health Aide | 122 Abbott St, Fairmont, WV 26554 | 2014-08-11 |
| 1124434550 | Achuta Ram Aynampudi | Psychiatry & Neurology | 100 Stoney Hill Rd, Fairmont, WV 26554 | 2014-07-07 |
| Find all providers in zip 26554 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053542555 | Arbors of Fairmont | Skilled Nursing Facility | 1700 Big Tree Dr Apt 79, Fairmont, WV 26554-8310 | 2009-07-31 |
| 1437134004 | City of Fairmont Nebraska - Fairview Manor | Skilled Nursing Facility | 255 F St, Fairmont, NE 68354-9771 | 2005-12-07 |
| 1316935703 | Wishing Well Nursing Home, Inc. | Skilled Nursing Facility | 1539 Country Club Rd, Fairmont, WV 26554-1306 | 2005-10-10 |
| 1073501466 | Wishing Well Manor, Inc. | Skilled Nursing Facility | 1543 Country Club Rd, Fairmont, WV 26554-1306 | 2005-10-10 |
| 1831191147 | Lakeview Methodist Health Care Center | Skilled Nursing Facility | 610 Summit Dr, Fairmont, MN 56031-2247 | 2005-06-01 |
| 1861998486 | Guardian Elder Care At Fairmont LLC | Skilled Nursing Facility | 130 Kaufman Dr, Fairmont, WV 26554-2179 | 2018-04-03 |
| 1629584727 | Qls Fairmont LLC | Skilled Nursing Facility | 130 Kaufman Dr, Fairmont, WV 26554-2179 | 2017-12-27 |
| 1326439522 | Oak Hrc Fairmont LLC | Skilled Nursing Facility | 130 Kaufman Dr, Fairmont, WV 26554-2179 | 2015-02-10 |
| 1578709341 | 1539 Country Club Road Operations LLC | Skilled Nursing Facility | 1539 Country Club Rd, Fairmont, WV 26554-1306 | 2008-12-30 |
| 1396981064 | 1543 Country Club Road Manor Operations LLC | Skilled Nursing Facility | 1543 Country Club Rd, Fairmont, WV 26554-1306 | 2008-12-30 |
| Find all providers in FAIRMONT | ||||
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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.