Fairhaven Rest Home, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2 Issued in WV

Legal business name

FAIRHAVEN REST HOME, INC

Practice address

700 Madison Ave
Huntington, WV 25704-2630

Phone

(304) 522-0032

Fax

(304) 522-1481

NPI assigned

Sep 29, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Barbara P. McCall

Title

Administrator

Phone

(304) 522-0032

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411430400000",
    "number": "1962594630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MADISON AVE",
            "address_2": "P. O. BOX 2806",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257042630",
            "telephone_number": "304-522-0032",
            "fax_number": "304-522-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MADISON AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257042630",
            "telephone_number": "304-522-0032",
            "fax_number": "304-522-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRHAVEN REST HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2014-09-23",
        "status": "A",
        "authorized_official_last_name": "MCCALL",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "304-522-0032",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WV",
            "license": "2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0003341000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elke Fahrmann, MD
• Aaron David Fain, M.D.
• Amanda L Fain, MSW LGSW
• Fairhaven Opco, LLC
• Fairhaven Opco, LLC
• Sobia Faisal, M.D
• Mary Heather Fajardo, MA
• Anna Falbo-Freeman, BA
• Adel Faltaous, MD
• Family Service Div of Goodwill Industries of Kyowva Area, Inc.

• Skilled Nursing Facility in Huntington, WV
• Providers in Huntington, 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 Sep 23, 2014; 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.