Fairhaven Rest Home, Inc

LBN: Fairhaven Rest Home, Inc
Fairhaven Rest Home, Inc is an health care organization with primary practice located at 700 Madison Ave , Huntington WV 25704-2630. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Fairhaven Rest Home, Inc can be contacted via phone (304) 522-0032, or through Mccall, Barbara P. via phone (304) 522-0032.

Contact Information

Primary practice address
700 Madison Ave Huntington WV 25704-2630
Phone: (304) 522-0032
Fax: (304) 522-1481
Website:
Map and Directions
Authorized official contact:
Name: Mccall, Barbara P.
Phone: (304) 522-0032

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2 West Virginia

Profile Details

NPI number 1962594630
LBN Legal business name Fairhaven Rest Home, Inc
DBA Doing business as
Authorized official Mccall, Barbara P.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2006
Last updated Sep 23rd, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962594630 NPPES
West Virginia MEDICAID 0003341000

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