Wishing Well Manor, Inc.
NPI 1073501466 · Assisted Living Facility · Fairmont, WV
Wishing Well Manor, Inc. is a Assisted Living Facility organization in Fairmont, WV (NPI 1073501466).
Provider details
- NPI number
- 1073501466
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Carlene Moore, Controller(304) 366-8414
- License
- 59 (WV)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Wishing Well Manor
Registry dates
- Enumerated
- 2005-10-10
- Last updated
- 2025-09-11
Frequently asked questions
- What is Wishing Well Manor, Inc.'s NPI number?
- Wishing Well Manor, Inc.'s National Provider Identifier (NPI) is 1073501466, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wishing Well Manor, Inc.?
- Wishing Well Manor, Inc. is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Wishing Well Manor, Inc. located?
- Wishing Well Manor, Inc.'s practice location on file with NPPES is 1543 Country Club Rd, Fairmont, WV 26554-1306.
- What is Wishing Well Manor, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Wishing Well Manor, Inc. is (304) 366-8414.
- Who is the authorized official for Wishing Well Manor, Inc.?
- The authorized official listed on Wishing Well Manor, Inc.'s NPPES record is Carlene Moore, Controller. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wishing Well Manor, Inc.'s NPI active?
- Yes — Wishing Well Manor, Inc.'s NPI (1073501466) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.