FAIRHAVEN CORPORATION
NPI 1083619761
Skilled Nursing Facility in Whitewater, WI

Active since June 17, 2005CLIA 52D0389923 · Waiver
435 W STARIN RD, WHITEWATER, WI 53190(262) 473-3445(262) 473-5468 Get Directions Write a Review

NPPES record last updated: September 1, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1083619761
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameFAIRHAVEN CORPORATION
Location Address435 W STARIN RDWhitewater, WI 53190-1133
Mailing Address435 W Starin RdWhitewater, WI 53190-1133 · (262) 473-3445 · Fax (262) 473-5468
Fax(262) 473-5468
Organization SubpartNo
Authorized OfficialDavid GackstatterDirector Of Hr/business Services · (608) 322-4331
Enumeration DateJune 17, 2005
Last NPPES UpdateSeptember 1, 2020
NPPES CertifiedSeptember 1, 2020
NPI 1083619761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in WI · 1039
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.
435 W STARIN RD, Whitewater, WI 53190

Other Identifiers 1

Medicaid20130500WI

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, WI
Active · expires Aug 31, 2026
CLIA Number52D0389923
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJessica Ward
Laboratory Phone(262) 473-2140
Laboratory LocationFairhaven Corporation435 W Starin Rd, Whitewater, WI 53190
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

Physical Therapy Assistant
435 W STARIN RD
WHITEWATER, WI 53190
Physical Therapist
435 W STARIN RD
WHITEWATER, WI 53190
Physical Therapy Assistant
435 W STARIN RD
WHITEWATER, WI 53190
Occupational Therapy Assistant
435 W STARIN RD
WHITEWATER, WI 53190
Occupational Therapist
435 W STARIN RD
WHITEWATER, WI 53190
Massage Therapist
435 W STARIN RD, 112 AA
WHITEWATER, WI 53190

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.