Fairmont Rehabilitation and Healthcare Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FAIRMONT REHABILITATION AND HEALTHCARE CENTER LLC

Practice address

130 Kaufman Dr
Fairmont, WV 26554-2179

Phone

(304) 363-5633

NPI assigned

Feb 5, 2025

Last updated

Feb 5, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Refoel Gottlieb

Title

Authorized Representative

Phone

(304) 363-5633

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245044791. Details of each certification follow.

• CCN 515189 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 515189

Legal name

FAIRMONT REHABILITATION AND HEALTHCARE CENTER LLC

Doing business as

FAIRMONT REHABILITATION AND HEALTHCARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 1, 2005

Last certification

May 10, 2023

Beds

120

Ownership / control type

Limited Liability Corporation

Most recent change of ownership

Apr 24, 2025

Organization structure

LLC

Enrollment address

130 Kaufman Dr
Fairmont, WV 26554-2179

Nursing home name

FAIRMONT REHABILITATION AND HEALTHCARE CENTER LLC

Listed as

Fairmont Rehabilitation and Healthcare Center LLCCCN 515189 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

1 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jun 1, 2005

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

120100.1 residents per day on average

Special focus status

SFF Candidate

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

1Fines totaling $17,959

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 43

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Sanjay Ranjit Bharti, MD

  • Internal Medicine Physician
  • Morgantown, WV
  • NPI 1376515692

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 23

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Wheeling Rehabilitation and Healthcare Center LLC

  • Skilled Nursing Facility
  • Wheeling, WV
  • NPI 1215793021

  Gotts Consulting WV LLC, Lrans Family Trust

  CMS ownership
• Wheeling Rehabilitation and Healthcare Center LLC

  • Rehabilitation Hospital
  • Wheeling, WV
  • NPI 1326806746

  Gotts Consulting WV LLC, Lrans Family Trust

  CMS ownership
• Amherst Alliance, LLC

  dba Amherst Meadows Care Center

  • Skilled Nursing Facility
  • Massillon, OH
  • NPI 1366445660

  Capital Finance LLC

  CMS ownership
• Beaver Valley Rehabilitation and Healthcare Center LLC

  • Skilled Nursing Facility
  • Beaver Falls, PA
  • NPI 1396552428

  Capital Finance LLC

  CMS ownership
• Cedar Ridge Care and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Lebanon, IL
  • NPI 1245884469

  Capital Finance LLC

  CMS ownership
• Cottonwood Rehabilitation and Healthcare Center LLC

  • Skilled Nursing Facility
  • Durango, CO
  • NPI 1700513439

  Capital Finance LLC

  CMS ownership
• Edgewood Manor Rehabilitation and Healthcare Center LLC

  • Skilled Nursing Facility
  • Port Clinton, OH
  • NPI 1548746159

  Capital Finance LLC

  CMS ownership
• Hallmark Healthcare of Pekin LLC

  • Skilled Nursing Facility
  • Pekin, IL
  • NPI 1073148920

  Capital Finance LLC

  CMS ownership
• Havencrest Rehabilitation and Healthcare Center LLC

  • Skilled Nursing Facility
  • Monongahela, PA
  • NPI 1003623133

  Capital Finance LLC

  CMS ownership
• Highland Care and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Highland, IL
  • NPI 1164076386

  Capital Finance LLC

  CMS ownership
• Hilltop Care and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Charleston, IL
  • NPI 1770137937

  Capital Finance LLC

  CMS ownership
• Hopewell Grove Rehabilitation and Healthcare Center LLC

  • Skilled Nursing Facility
  • Chillicothe, OH
  • NPI 1457177594

  Capital Finance LLC

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sanjay Ranjit Bharti, MD

  • Internal Medicine Physician
  • Morgantown, WV
  • NPI 1376515692
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Sanjay Ranjit Bharti, MD

  • Internal Medicine Physician
  • Morgantown, WV
  • NPI 1376515692

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1245044791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 ROUTE 70 FL 2",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087551026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 KAUFMAN DR",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265542179",
            "telephone_number": "304-363-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRMONT REHABILITATION AND HEALTHCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "GOTTLIEB",
        "authorized_official_first_name": "REFOEL",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "304-363-5633"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fairmont Physicians Inc
• Fairmont Physicians, Inc
• Fairmont Physicians, Inc.
• Fairmont Physicians, Inc.
• Fairmont Regional Cancer Center (University Health Associates)
• Fairmont State University
• Derek Alan Falkenstein, PT
• Family Care Associates, PLLC
• Family First Chiropractic
• Family Service of Marion & Harrison Counties Inc

• Skilled Nursing Facility in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Skilled Nursing Facility in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.