1543 Country Club Road Manor Operations LLC
NPI 1942446745 · Assisted Living Facility · Fairmont, WV
1543 Country Club Road Manor Operations LLC is a Assisted Living Facility organization in Fairmont, WV (NPI 1942446745).
Provider details
- NPI number
- 1942446745
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Berg, Secretary(610) 444-6350
- License
- 506062 (WV)
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
17 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 Assisted Living Community at Fairmont Campus
Registry dates
- Enumerated
- 2008-12-29
- Last updated
- 2025-07-09
- Certified
- 2025-07-09
Frequently asked questions
- What is 1543 Country Club Road Manor Operations LLC's NPI number?
- 1543 Country Club Road Manor Operations LLC's National Provider Identifier (NPI) is 1942446745, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 1543 Country Club Road Manor Operations LLC?
- 1543 Country Club Road Manor Operations LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is 1543 Country Club Road Manor Operations LLC located?
- 1543 Country Club Road Manor Operations LLC's practice location on file with NPPES is 1543 Country Club Rd, Fairmont, WV 26554-1306.
- What is 1543 Country Club Road Manor Operations LLC's phone number?
- The practice phone number listed in the NPPES registry for 1543 Country Club Road Manor Operations LLC is (304) 363-2273.
- Who is the authorized official for 1543 Country Club Road Manor Operations LLC?
- The authorized official listed on 1543 Country Club Road Manor Operations LLC's NPPES record is Michael Berg, Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 1543 Country Club Road Manor Operations LLC's NPI active?
- Yes — 1543 Country Club Road Manor Operations LLC's NPI (1942446745) is active in the NPPES registry as of the last update on 2025-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.