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Fairhaven Corporation

Skilled Nursing Facility in Whitewater, WI · enumerated 2005 · authorized official David Gackstatter, Director of Hr/Business Services.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1083619761

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Registry record

Entity type Organization (Type 2)
Legal business name Fairhaven Corporation
Practice address 435 W Starin Rd, Whitewater, WI, 53190
Phone (262) 473-3445
Fax (262) 473-5468
Enumeration date Jun 17, 2005
Last updated in NPPES Sep 1, 2020

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 1039 (WI) Primary

Authorized official

Name David Gackstatter
Title Director of Hr/Business Services
Phone (608) 322-4331

Other identifiers

Identifier Type State Issuer
20130500 Medicaid WI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-09-01. Verify at npiregistry.cms.hhs.gov.
Where is Fairhaven Corporation located?
The practice location on file with NPPES is in Whitewater, WI.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-09-01.