FMG I Street Northeast Washington LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FMG I STREET NORTHEAST WASHINGTON LLC

Doing business as

North Auburn Rehabilitation & Health Center

Practice address

2830 I St NE
Auburn, WA 98002-2410

Phone

(253) 561-8100

Fax

(253) 735-5159

NPI assigned

Dec 24, 2014

Organization subpart

No

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

Authorized official

Name

David C. Keating

Title

Agent

Phone

(414) 908-8058

Specialties & licenses 1

Addresses

Other names 1

• North Auburn Rehabilitation & Health Center Doing business as

Locations

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

{
    "created_epoch": "1419379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1356739411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 WEST LEMON STREET",
            "address_2": "C/O FOCUS MANAGEMENT GROUP",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091103",
            "telephone_number": "813-281-0062",
            "fax_number": "813-281-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 I ST NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980022410",
            "telephone_number": "253-561-8100",
            "fax_number": "253-735-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FMG I STREET NORTHEAST WASHINGTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KEATING",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "AGENT",
        "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": "North Auburn Rehabilitation & Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Auburn Rehabilitation & Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Auburn, WA
• Providers in Auburn, WA by specialty
• Skilled Nursing Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.