FAIRLAWN HAVEN
NPI 1003813148
Skilled Nursing Facility in Archbold, OH

Active since July 05, 2005CLIA Certified · 2 labs
407 E LUTZ RD, ARCHBOLD, OH 43502(419) 445-3074 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 16, 2023, Oct 25, 2022, Aug 22, 2020 (3 updates tracked since 2020).

About Fairlawn Haven NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAIRLAWN HAVEN (NPI 1003813148) is a healthcare organization registered as a skilled nursing facility in Archbold, Ohio and active in the NPI registry since July 2005. The organization holds 2 active CLIA laboratory certificates and lists Tammy S. Allison, Healthcare Administrator, as its authorized official.

NPPES Registry Identity

NPI1003813148
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameFAIRLAWN HAVEN
Location Address407 E LUTZ RDArchbold, OH 43502-1252
Mailing Address407 E Lutz RdArchbold, OH 43502-1252 · (419) 445-3074
Organization SubpartNo
Authorized OfficialTammy S. AllisonHealthcare Administrator · (419) 445-3075
Enumeration DateJuly 5, 2005
Last NPPES UpdateAugust 16, 20233 updates tracked since enumeration
NPPES CertifiedAugust 16, 2023
NPI 1003813148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Also ListedAssisted Living FacilityTaxonomy 310400000X
407 E LUTZ RD, Archbold, OH 43502

Other Identifiers 1

Medicaid0010302OH

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D0331140

Fairlawn Haven · Archbold, OH
Active · expires Aug 31, 2026
CLIA Number36D0331140
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorRebecca Hatton
Laboratory Phone(419) 445-3075
Laboratory LocationFairlawn Haven407 E Lutz Rd, Archbold, OH 43502
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D2199890

Fairlawn Haven Al/West Haven · Archbold, OH
Active · expires Nov 11, 2026
CLIA Number36D2199890
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 12, 2024
Certificate Expiration DateNovember 11, 2026
Laboratory DirectorRebecca Hatton
Laboratory Phone(567) 444-5080
Laboratory LocationFairlawn Haven Al/West Haven500 Haven Dr, Archbold, OH 43502
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
407 E LUTZ RD
ARCHBOLD, OH 43502
Physical Therapist
407 E LUTZ RD
ARCHBOLD, OH 43502
Occupational Therapist
407 E LUTZ RD
ARCHBOLD, OH 43502
Physical Therapist
407 E LUTZ RD
ARCHBOLD, OH 43502

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fairlawn Haven's NPI number?

The NPI number for Fairlawn Haven is 1003813148. It was assigned to this organization in the NPPES registry on July 5, 2005.

Where is Fairlawn Haven located?

Fairlawn Haven is located at 407 E Lutz Rd, Archbold, OH 43502. The listed phone number is (419) 445-3074.

What is Fairlawn Haven's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Fairlawn Haven hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Fairlawn Haven accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and UnitedHealthcare list Fairlawn Haven as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fairlawn Haven was last updated on August 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.