FMG West Hart Road Wisconsin LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FMG WEST HART ROAD WISCONSIN LLC

Doing business as

Beloit Health & Rehabilitation

Practice address

1905 W Hart Rd
Beloit, WI 53511-2230

Phone

(608) 365-2554

Fax

(608) 365-0198

NPI assigned

Jan 15, 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

• Beloit Health & Rehabilitation Doing business as

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421366400000",
    "number": "1275922148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 W HART RD",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535112230",
            "telephone_number": "608-365-2554",
            "fax_number": "608-365-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 W HART RD",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535112230",
            "telephone_number": "608-365-2554",
            "fax_number": "608-365-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FMG WEST HART ROAD WISCONSIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-15",
        "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": "Beloit Health & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine V Flanagan, MA APSW
• Victoria Flask
• Zachary Fleury
• Regina Flister
• James C. Flood, MD
• Christina Fons, OTR.
• Sherrie Anne Foss
• Jane E Fossum, MD
• Jessica Frailing, MS CCC-SLP
• Frank C. Kollins, D.C., S.C.

• Skilled Nursing Facility in Beloit, WI
• Providers in Beloit, 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.