Madison Park Healthcare

LBN: Fairhaven Opco, Llc
Madison Park Healthcare is an health care organization with primary practice located at 700 Madison Ave , Huntington WV 25704-2630. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility is the primary health care specialty. Fairhaven Opco, Llc can be contacted via phone (304) 552-0032, or through Dole, Isaac S via phone (312) 724-8950.

Contact Information

Primary practice address
700 Madison Ave Huntington WV 25704-2630
Phone: (304) 552-0032
Fax: (304) 522-1481
Website:
Map and Directions
Authorized official contact:
Name: Dole, Isaac S
Phone: (312) 724-8950

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1295111565
LBN Legal business name Fairhaven Opco, Llc
DBA Doing business as Madison Park Healthcare
Authorized official Dole, Isaac S
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2015
Last updated Dec 12th, 2015 - about 10 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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