Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
1543 COUNTRY CLUB ROAD MANOR OPERATIONS LLC
Active Organization1543 COUNTRY CLUB ROAD MANOR OPERATIONS LLC is a Skilled Nursing Facility organization located in FAIRMONT, West Virginia. NPI 1396981064 is currently active in the NPPES registry. Verify at CMS.
Skilled Nursing Facility · FAIRMONT, WV
Registration Details
- NPI Number
- 1396981064
- Provider Type
- Organization
- NPI Issued
- Dec 30, 2008 (17.585463796519 yrs)
- Last Updated
- Jul 9, 2025
- License
-
59 (WV)
Practice Information
- Address
-
1543 COUNTRY CLUB RDFAIRMONT, WV, 265541306Browse WV providers · Browse ZIP 26554
- Phone
- 3043632273
- Primary Specialty
-
Skilled Nursing Facility
314000000X
Other Skilled Nursing Facility Organizations in FAIRMONT, WV
| Name | NPI |
|---|---|
| ST. BARBARAS MEMORIAL NURSING HOME INC | 1912992090 |
| WISHING WELL NURSING HOME, INC. | 1316935703 |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC. | 1528040359 |
| KAUFMAN STREET WV LLC | 1346274370 |
| 1539 COUNTRY CLUB ROAD OPERATIONS LLC | 1578709341 |
| ARBORS OF FAIRMONT | 1053542555 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.