Fairhaven Opco, LLC
NPI 1295111565 · Nursing Facility/Intermediate Care Facility · Huntington, WV
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fairhaven Opco, LLC is a Nursing Facility/Intermediate Care Facility organization in Huntington, WV (NPI 1295111565).
Provider details
- NPI number
- 1295111565
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Isaac Dole, Manager(312) 724-8950
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Skilled Nursing Facility314000000X
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
- Madison Park Healthcare
Registry dates
- Enumerated
- 2015-08-10
- Last updated
- 2015-12-12
Frequently asked questions
- What is Fairhaven Opco, LLC's NPI number?
- Fairhaven Opco, LLC's National Provider Identifier (NPI) is 1295111565, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fairhaven Opco, LLC?
- Fairhaven Opco, LLC is classified in the NPPES registry as Nursing Facility/Intermediate Care Facility (Nursing & Custodial Care Facilities).
- Where is Fairhaven Opco, LLC located?
- Fairhaven Opco, LLC's practice location on file with NPPES is 700 Madison Ave, Huntington, WV 25704-2630.
- What is Fairhaven Opco, LLC's phone number?
- The practice phone number listed in the NPPES registry for Fairhaven Opco, LLC is (304) 552-0032.
- Does Fairhaven Opco, LLC accept Medicare?
- Fairhaven Opco, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Fairhaven Opco, LLC?
- The authorized official listed on Fairhaven Opco, LLC's NPPES record is Isaac Dole, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fairhaven Opco, LLC's NPI active?
- Yes — Fairhaven Opco, LLC's NPI (1295111565) is active in the NPPES registry as of the last update on 2015-12-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.