Oak HRC Fairmont LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

OAK HRC FAIRMONT LLC

Doing business as

Fairmont Health and Rehabilitation Center

Practice address

130 Kaufman Dr
Fairmont, WV 26554-2179

Phone

(304) 363-5633

Fax

(304) 363-8247

NPI assigned

Feb 10, 2015

Organization subpart

Yes

Parent organization

OAK HEALTH AND REHABILITATION CENTERS INC.As reported in NPPES

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

Authorized official

Name

Howard Jaffe

Title

Officer

Phone

(215) 346-6454

Specialties & licenses 1

Addresses

Other names 1

• Fairmont Health and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1326439522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 KAUFMAN DR",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265542179",
            "telephone_number": "304-363-5633",
            "fax_number": "304-363-8247"
        },
        {
            "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",
            "fax_number": "304-363-8247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK HRC FAIRMONT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OAK HEALTH AND REHABILITATION CENTERS INC.",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "JAFFE",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "215-346-6454"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairmont Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Macey J Nuzum, BS
• Charlene M O Donnell
• Katherine O'Bryan, FNP-BC
• Diane O'Connor
• Delros Dawn O'Dell
• Joanne Oconnor
• Dixie Ogden
• Lisha Damara Ohearn
• Christopher Ohler
• Robert W Oliverio, DPT

• 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 10, 2015; 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.