Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

FAYETTEVILLE SNF LLC
NPI 1043131790
Skilled Nursing Facility in Fayetteville, WV

Active since July 21, 2026
100 HRESAN BLVD, FAYETTEVILLE, WV 25840(304) 574-0770 Get Directions Write a Review

NPPES record added: July 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fayetteville Snf Llc NPPES

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

FAYETTEVILLE SNF LLC (NPI 1043131790), doing business as Fayetteville Rehabilitation And Healthcare Center, is a healthcare organization registered as a skilled nursing facility in Fayetteville, West Virginia and active in the NPI registry since July 2026. The organization lists Robert Cohen, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1043131790
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameFAYETTEVILLE SNF LLC
Location Address100 HRESAN BLVDFayetteville, WV 25840-1333
Mailing Address100 Hresan BlvdFayetteville, WV 25840-1333 · (304) 574-0770
Organization SubpartNo
Authorized OfficialRobert CohenAuthorized Official · (347) 463-2399
Enumeration DateJuly 21, 2026
NPPES CertifiedJuly 21, 2026
NPI 1043131790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

100 HRESAN BLVD, Fayetteville, WV 25840

Other Names 1

Doing Business AsFayetteville Rehabilitation And Healthcare Center

Other Providers at the Same Location NPPES 3

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

Skilled Nursing Facility
100 HRESAN BLVD
FAYETTEVILLE, WV 25840
Homemaker
100 HRESAN BLVD
FAYETTEVILLE, WV 25840
Skilled Nursing Facility
100 HRESAN BLVD
FAYETTEVILLE, WV 25840

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 Fayetteville Snf LLC's NPI number?

The NPI number for Fayetteville Snf LLC is 1043131790. It was assigned to this organization in the NPPES registry on July 21, 2026. The provider is doing business as Fayetteville Rehabilitation and Healthcare Center.

Where is Fayetteville Snf LLC located?

Fayetteville Snf LLC is located at 100 Hresan Blvd, Fayetteville, WV 25840. The listed phone number is (304) 574-0770.

What is Fayetteville Snf LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Fayetteville Snf LLC was last updated on July 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.