FMG South Huron Street Michigan LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FMG SOUTH HURON STREET MICHIGAN LLC

Doing business as

Tendercare Health Center of Cheboygan

Practice address

824 S Huron St
Cheboygan, MI 49721-2210

Phone

(231) 627-4347

Fax

(231) 627-4883

NPI assigned

Dec 17, 2014

Last updated

Dec 23, 2014By the provider in NPPES

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

• Tendercare Health Center of Cheboygan Doing business as

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419292800000",
    "number": "1386042711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 S HURON ST",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497212210",
            "telephone_number": "231-627-4347",
            "fax_number": "231-627-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 S HURON ST",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497212210",
            "telephone_number": "231-627-4347",
            "fax_number": "231-627-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FMG SOUTH HURON STREET MICHIGAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-17",
        "last_updated": "2014-12-23",
        "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": "Tendercare Health Center of Cheboygan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Reginald Joy B. Espinosa, PT, DPT
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• Rebecca Evans, LMSW
• Laurent Fady
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• James Craig Forrester
• Scott A Forsmark, DDS
• Forward Path Counseling
• Pamela Susan Francken
• Robert Frank

• Skilled Nursing Facility in Cheboygan, MI
• Providers in Cheboygan, MI by specialty
• Skilled Nursing Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; 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.