Friendly Village Management, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FRIENDLY VILLAGE MANAGEMENT, LLC

Practice address

900 Boyce Dr
Rhinelander, WI 54501-3835

Phone

(715) 365-6832

NPI assigned

Feb 17, 2016

Organization subpart

No

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

Authorized official

Name

Gerald Stoll

Title

Manager

Phone

(917) 836-0436

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1376902429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 BROADWAY",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 BOYCE DR",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545013835",
            "telephone_number": "715-365-6832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDLY VILLAGE MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "STOLL",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "917-836-0436"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Flynn, PT, DPT
• Carol Ann Fochs, RN
• Trina Ford, NP
• Leonard G Fralick Jr., D.D.S.
• Josephine French
• Friendly Village Nursing and Rehab, LLC
• Kimberly Jo Fritz, LCSW
• Future Growth LLC
• Gail a Weinand
• Michael L Galli, PHD

• Skilled Nursing Facility in Rhinelander, WI
• Providers in Rhinelander, 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 Feb 17, 2016; 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.