Healthcare Provider Details
I. General information
NPI: 1598601759
Provider Name (Legal Business Name): FAIRVIEW OPCO LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1301 NORTH HIGH ST
FRANKLIN VA
23851
US
IV. Provider business mailing address
1600 AVENUE OF THE STATES STE 800
LAKEWOOD NJ
08701-4909
US
V. Phone/Fax
- Phone: 757-569-6100
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TZVI
ALTER
Title or Position: CEO
Credential:
Phone: 908-506-4204