NPIMap

Organization Active NPI

FPG & LCD LLC

Doing business as Stoney River Rehab

  • Skilled Nursing Facility
  • Weston, WI
National Provider Identifier
1306281258
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FPG & LCD LLC
Doing business as
Stoney River Rehab
Practice address
7805 Birch St
Weston, WI 54476-5219
Phone
(715) 298-3833
Fax
(715) 298-4284
NPI assigned
May 6, 2013
Last updated
Apr 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2020

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

Authorized official

Name
Sally Ann Conway, MS CCC-SLP, NHANPI 1104103431
Title
Executive Director
Phone
(715) 298-3833

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X WI Primary

Addresses

Primary practice location

7805 Birch St
Weston, WI 54476-5219

Mailing address

7805 Birch St
Weston, WI 54476-5219
Phone (715) 298-4226

Other identifiers 1

IdentifierTypeStateIssuer
100030434MedicaidWI

Other names 1

  • Stoney River Rehab Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sconway@westonrecoveryandrehab.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130617000247 WI Part A Provider - Skilled Nursing Facility 4981843323 Practice locations: Weston, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306281258. Details of each certification follow.

Skilled nursing facility certification: CCN 525711

Legal name
FPG & LCD LLC
Doing business as
PRIDE THERAPY AND LIVING CAMPUS
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Jun 18, 2013
Last certification
Jul 16, 2025
Beds
25
Ownership / control type
Partnership
Multi-facility organization
Relavix Health Group LLC
Organization structure
LLCProprietary
Incorporated
Dec 12, 2011 in WI
Enrollment address
7805 Birch St
Weston, WI 54476-5219
Nursing home name
PRIDE TLC THERAPY AND LIVING CAMPUS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pride TLC Therapy and Living CampusCCN 525711 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare
Ownership
For profit - Partnership
Certified
Jun 18, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
2519.2 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: sconway@westonrecoveryandrehab.com

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Wanxiang America Real Estate Group, LLC Organization, Chicago, IL For-profit 5% Or Greater Direct Ownership Interest May 31, 2018 98.95%
Sally a Johnson Conway Individual W-2 Managing EmployeeExecutive Director Apr 22, 2013 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586390400000",
    "number": "1306281258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7805 BIRCH ST",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544765219",
            "telephone_number": "715-298-4226",
            "fax_number": "715-298-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7805 BIRCH ST",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544765219",
            "telephone_number": "715-298-3833",
            "fax_number": "715-298-4284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FPG & LCD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-06",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A",
        "authorized_official_last_name": "CONWAY",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "715-298-3833",
        "authorized_official_credential": "MS CCC-SLP, NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100030434",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sconway@westonrecoveryandrehab.com",
            "affiliation": "N",
            "address_1": "7805 Birch St",
            "city": "Weston",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544765219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Stoney River Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stoney River Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weston, WI

Sources for this page

Verify at the official NPI Registry.