FMG West Ramsey Avenue Wisconsin LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FMG WEST RAMSEY AVENUE WISCONSIN LLC

Doing business as

Maple Ridge Health & Rehabilitation

Practice address

2730 W Ramsey Ave
Milwaukee, WI 53221-4814

Phone

(414) 282-2600

NPI assigned

Jan 16, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Keating

Title

Authorized Official

Phone

(414) 908-8058

Specialties & licenses 1

Addresses

Other names 1

• Maple Ridge Health & Rehabilitation Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421366400000",
    "number": "1083003883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 W RAMSEY AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532214814",
            "telephone_number": "414-282-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 W RAMSEY AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532214814",
            "telephone_number": "414-282-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FMG WEST RAMSEY AVENUE WISCONSIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-16",
        "last_updated": "2015-01-16",
        "status": "A",
        "authorized_official_last_name": "KEATING",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "414-908-8058"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maple Ridge Health & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• George David Flynn, CRC, LPC
• Grace Ann Flynn
• Sarah C Flynn, PHARMD
• FMG South 43Rd Street Wisconsin LLC
• FMG West Mitchell Street Wisconsin LLC
• Melissa Danielle Fockel, MSW LCSW
• Focus Home Healthcare, LLC
• Focus Transport
• Jessica Darcy Fodrocy, APNP
• Hannah Fogarty

• Skilled Nursing Facility in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Skilled Nursing Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.