Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

1539 Country Club Road Operations LLC

Organization Skilled Nursing Facility · NPI 1578709341

1539 Country Club Road Operations LLC is a Skilled Nursing Facility in Fairmont, West Virginia. Licensed in West Virginia. Registered with an NPI since 2008.

Licensed in
WV
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1539 Country Club Rd
Fairmont, WV 26554-1306
Phone: (304) 366-9100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 62 (WV)

Record details

NPI number1578709341
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Berg — Secretary · (610) 444-6350
Other names Tygart Center At Fairmount Campus
NPI enumeratedDecember 30, 2008
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025
Mailing address101 E State St, Kennett Square, PA 19348-3109

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