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Contact Information

REST HAVEN NURSING HOME, INC
8 ROSE ST
GRAFTON, WV26354-1678
 Phone: 304-265-0095
 Fax: 304-265-6215
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Non-emergency Medical Transport (VAN)

343900000X
Indicates primary specialty

NPI Profile & details for REST HAVEN NURSING HOME, INC

NPI Number 1073558839
LBN Legal business name REST HAVEN NURSING HOME, INC
Authorized official JANE DROPESKEY - (CORPORATE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/17/2006
Last updated 08/17/2018 - About 8 years ago
Identifiers
WV License # 112
WV Medicaid 0003344000
WV Medicaid 8003073000
Other 2281873 AETNA-HMO
Other 000324443 MOUNTAIN STATE BC/BS
Other 282257 UNITED - MAMSI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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