Fairhaven Corporation
NPI 1083619761 · Skilled Nursing Facility · Whitewater, WI
Fairhaven Corporation is a Skilled Nursing Facility organization in Whitewater, WI (NPI 1083619761).
Provider details
- NPI number
- 1083619761
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- David Gackstatter, Director of Hr/Business Services(608) 322-4331
- License
- 1039 (WI)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 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
Registry dates
- Enumerated
- 2005-06-17
- Last updated
- 2020-09-01
- Certified
- 2020-09-01
Frequently asked questions
- What is Fairhaven Corporation's NPI number?
- Fairhaven Corporation's National Provider Identifier (NPI) is 1083619761, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fairhaven Corporation?
- Fairhaven Corporation is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Fairhaven Corporation located?
- Fairhaven Corporation's practice location on file with NPPES is 435 W Starin Rd, Whitewater, WI 53190-1133.
- What is Fairhaven Corporation's phone number?
- The practice phone number listed in the NPPES registry for Fairhaven Corporation is (262) 473-3445.
- Who is the authorized official for Fairhaven Corporation?
- The authorized official listed on Fairhaven Corporation's NPPES record is David Gackstatter, Director of Hr/Business Services. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fairhaven Corporation's NPI active?
- Yes — Fairhaven Corporation's NPI (1083619761) is active in the NPPES registry as of the last update on 2020-09-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.