Fair Haven Home, Inc.

LBN: Fair Haven Home, Inc.
Fair Haven Home, Inc. is an health care organization with primary practice located at 149 Fairhaven Dr , Bostic NC 28018-8759. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Adult Care Home, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Fair Haven Home, Inc. can be contacted via phone (828) 245-9095, or through Mckeithan, Emmett James via phone (828) 245-9095.

Contact Information

Primary practice address
149 Fairhaven Dr Bostic NC 28018-8759
Phone: (828) 245-9095
Fax: (828) 245-7856
Website:
Map and Directions
Authorized official contact:
Name: Mckeithan, Emmett James
Phone: (828) 245-9095

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X NH0531 North Carolina
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH0531 North Carolina

Profile Details

NPI number 1275508970
LBN Legal business name Fair Haven Home, Inc.
DBA Doing business as
Authorized official Mckeithan, Emmett James
Entity Organization
Organization subpart 1 No
Enumeration date Feb 17th, 2006
Last updated Oct 13th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275508970 NPPES
North Carolina MEDICAID 340602R
North Carolina MEDICAID 7801066
North Carolina MEDICAID 3405425

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