FAIRHAVEN REST HOME, INC


Address: 700 Madison Ave, Huntington, WV 25704-2630
Phone: 3045220032

FAIRHAVEN REST HOME, INC (NPI# 1962594630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962594630
Entity Type Organization
Organization Name FAIRHAVEN REST HOME, INC
Practice Address 700 Madison Ave
Huntington
WV 25704-2630
Mailing Address 700 Madison Ave
P. O. Box 2806
Huntington
WV 25704-2630
Practice Telephone 3045220032
Practice Fax Number 3045221481
Mailing Telephone 3045220032
Mailing Fax Number 3045221481
Enumeration Date 2006-09-29
Last Update Date 2014-09-23
Authorized Official Name MRS. BARBARA P. MCCALL (ADMINISTRATOR)
Authorized Official Telephone 3045220032
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility 2 WV Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WV 0003341000 05

Office Location

Street Address 700 MADISON AVE
City HUNTINGTON
State WV
Zip Code 25704-2630

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265890610 Adam Forrest Occupational Therapist 700 Madison Ave, Huntington, WV 25704-2630 2016-01-31
1194180489 Fairhaven Opco, LLC Occupational Therapist 700 Madison Ave, Huntington, WV 25704-2630 2015-12-31
1295111565 Fairhaven Opco, LLC Skilled Nursing Facility 700 Madison Ave, Huntington, WV 25704-2630 2015-08-10

Providers in the same zip code

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 Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255512067 Huntington Health Care & Rehabilitation Center, Ltd. Skilled Nursing Facility 220 E. Ash Street, Huntington, TX 75949-5514 2007-11-20
1619007887 Henry County Memorial Hospital Skilled Nursing Facility 3720 N Norwood Rd, Huntington, IN 46750-8906 2007-03-06
1417020553 Hoosier Enterprises V, Inc. Skilled Nursing Facility 850 Ash St, Huntington, IN 46750-4101 2006-11-16
1548373418 Huntington Health and Rehab Skilled Nursing Facility 1720 17th St, Huntington, WV 25701-4235 2006-08-16
1316956311 Hilaire Farm Skilled Living & Rehabilitation Center, LLC Skilled Nursing Facility 9 Hilaire Dr, Huntington, NY 11743-3768 2006-08-07
1528097391 Henry County Memorial Hospital Skilled Nursing Facility 1425 Grant St, Huntington, IN 46750-3121 2006-07-02
1386687515 Seventeenth Street Associates LLC Skilled Nursing Facility 1720-17th Street, Huntington, WV 25701-4235 2006-06-14
1265429856 Carillon Nursing and Rehabilitation Center LLC Skilled Nursing Facility 830 Park Ave, Huntington, NY 11743-4543 2005-09-29
1366920951 Huntington Nursing and Rehab LLC Skilled Nursing Facility 3720 N Norwood Rd, Huntington, IN 46750-8906 2018-08-06
1073031050 Hilaire Operating LLC Skilled Nursing Facility 9 Hilaire Dr, Huntington, NY 11743-3768 2017-08-30
Find all providers in HUNTINGTON

Competitor

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City HUNTINGTON
Zip Code 25704

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Dataset Information

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.

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