FAIRHAVEN CORPORATION
NPI 1083619761
Skilled Nursing Facility in Whitewater, WI
About Fairhaven Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAIRHAVEN CORPORATION (NPI 1083619761) is a healthcare organization registered as a skilled nursing facility in Whitewater, Wisconsin and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists David Gackstatter, Director Of Hr/business Services, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
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 52D0389923
Fairhaven Corporation · Whitewater, WIOther Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Fairhaven Corporation's NPI number?
The NPI number for Fairhaven Corporation is 1083619761. It was assigned to this organization in the NPPES registry on June 17, 2005.
Where is Fairhaven Corporation located?
Fairhaven Corporation is located at 435 W Starin Rd, Whitewater, WI 53190. The listed phone number is (262) 473-3445.
What is Fairhaven Corporation's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Fairhaven Corporation hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 52D0389923) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Fairhaven Corporation accept?
Health plans from CareSource (Common Ground Healthcare) and HealthPartners list Fairhaven Corporation 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 Fairhaven Corporation was last updated on September 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.