1543 COUNTRY CLUB ROAD MANOR OPERATIONS LLC
NPI 1396981064
Skilled Nursing Facility in Fairmont, WV

Active since December 30, 2008
1543 COUNTRY CLUB RD, FAIRMONT, WV 26554(304) 363-2273 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About 1543 Country Club Road Manor Operations Llc NPPES

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

1543 COUNTRY CLUB ROAD MANOR OPERATIONS LLC (NPI 1396981064), doing business as Pierpont Center At Fairmont Campus, is a healthcare organization registered as a skilled nursing facility in Fairmont, West Virginia and active in the NPI registry since December 2008. The organization lists Michael T Berg, Secretary, as its authorized official.

NPPES Registry Identity

NPI1396981064
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business Name1543 COUNTRY CLUB ROAD MANOR OPERATIONS LLC
Location Address1543 COUNTRY CLUB RDFairmont, WV 26554-1306
Mailing Address101 E State StKennett Square, PA 19348-3109 · (610) 925-4436 · Fax (610) 347-4099
Organization SubpartNo
Authorized OfficialMichael T BergSecretary · (610) 444-6350
Enumeration DateDecember 30, 2008
Last NPPES UpdateJuly 9, 2025
NPPES CertifiedJuly 9, 2025
NPI 1396981064 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 WV · 59
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.
1543 COUNTRY CLUB RD, Fairmont, WV 26554

Other Names 1

Doing Business AsPierpont Center At Fairmont Campus

Other Identifiers 1

Medicaid3810013993WV

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Geriatric Medicine)
1543 COUNTRY CLUB RD
FAIRMONT, WV 26554
Occupational Therapist
1543 COUNTRY CLUB RD
FAIRMONT, WV 26554
Assisted Living Facility
1543 COUNTRY CLUB RD
FAIRMONT, WV 26554
Occupational Therapy Assistant
1543 COUNTRY CLUB RD
FAIRMONT, WV 26554
Speech-Language Pathologist
1543 COUNTRY CLUB RD
FAIRMONT, WV 26554
Occupational Therapy Assistant
1543 COUNTRY CLUB RD
FAIRMONT, WV 26554
Occupational Therapist
1543 COUNTRY CLUB RD
FAIRMONT, WV 26554
Occupational Therapy Assistant
1543 COUNTRY CLUB RD
FAIRMONT, WV 26554

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 1543 Country Club Road Manor Operations LLC's NPI number?

The NPI number for 1543 Country Club Road Manor Operations LLC is 1396981064. It was assigned to this organization in the NPPES registry on December 30, 2008. The provider is doing business as Pierpont Center at Fairmont Campus.

Where is 1543 Country Club Road Manor Operations LLC located?

1543 Country Club Road Manor Operations LLC is located at 1543 Country Club Rd, Fairmont, WV 26554. The listed phone number is (304) 363-2273.

What is 1543 Country Club Road Manor Operations LLC's specialty?

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

What insurance does 1543 Country Club Road Manor Operations LLC accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list 1543 Country Club Road Manor Operations LLC 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 1543 Country Club Road Manor Operations LLC was last updated on July 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.