Guardian Elder Care at Fairmont LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GUARDIAN ELDER CARE AT FAIRMONT LLC

Practice address

130 Kaufman Dr
Fairmont, WV 26554-2179

Phone

(340) 363-5633

NPI assigned

Apr 3, 2018

Organization subpart

No

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

Authorized official

Name

Armando Fortunato

Title

Cfo

Phone

(814) 265-1164

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fairmont Healthcare and Rehabilitation Center Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sanjay Ranjit Bharti, MD

  • Internal Medicine Physician
  • Morgantown, WV
  • NPI 1376515692
  NPD (past)
• Govindbhai M Patel, MD

  • Internal Medicine Physician
  • Fairmont, WV
  • NPI 1861478109
  NPD (past)

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1861998486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8796 ROUTE 219",
            "city": "BROCKWAY",
            "state": "PA",
            "postal_code": "158246010"
        },
        {
            "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": "340-363-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ELDER CARE AT FAIRMONT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-03",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "FORTUNATO",
        "authorized_official_first_name": "ARMANDO",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "814-265-1164"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861998486",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairmont Healthcare and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiffany Griffith
• Jacqueline Marie Grim, LGSW
• Kiana Renee Grogg
• Skyler Grogg
• Amy Gruber, PA-C
• Doren Gump
• Lesley Ann Guthrie
• Sonya Kay Guthrie
• Christina Dawn Hacker
• Mark A Hackney, MD

• 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 May 18, 2023; 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.