Organization Active NPI

Arbors of Fairmont

  • Skilled Nursing Facility
  • Fairmont, WV
National Provider Identifier
1053542555
Registry record updated Jul 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1393 Issued in WV
Legal business name
ARBORS OF FAIRMONT
Practice address
1700 Big Tree Dr Apt 79
Fairmont, WV 26554-8310
Phone
(304) 476-8053
NPI assigned
Jul 31, 2009
Last updated
Jul 31, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lauren N Coffindaffer
Title
Pta
Phone
(304) 476-8053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1393 WV Primary

Addresses

Primary practice location

1700 Big Tree Dr Apt 79
Fairmont, WV 26554-8310

Mailing address

1700 Big Tree Dr Apt 79
Fairmont, WV 26554-8310
Phone (304) 476-8053

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248998400000",
    "number": "1053542555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 BIG TREE DR APT 79",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265548310",
            "telephone_number": "304-476-8053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 BIG TREE DR APT 79",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265548310",
            "telephone_number": "304-476-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBORS OF FAIRMONT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-31",
        "last_updated": "2009-07-31",
        "status": "A",
        "authorized_official_last_name": "COFFINDAFFER",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PTA",
        "authorized_official_telephone_number": "304-476-8053"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WV",
            "license": "1393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.