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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 2 | WV | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | 0003341000 | 05 |
Street Address |
700 MADISON AVE |
City | HUNTINGTON |
State | WV |
Zip Code | 25704-2630 |
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 |
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 | 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 |
---|---|---|---|---|
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 |
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.