FMG South Marion Avenue Washington LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FMG SOUTH MARION AVENUE WASHINGTON LLC

Doing business as

Forrest Ridge Health & Rehabilitation Center

Practice address

140 Marion Ave S
Bremerton, WA 98312-3639

Phone

(360) 479-4747

Fax

(360) 377-3736

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

• Forrest Ridge Health & Rehabilitation Center Doing business as

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": "1437547593",
    "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": "140 MARION AVE S",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983123639",
            "telephone_number": "360-479-4747",
            "fax_number": "360-377-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FMG SOUTH MARION AVENUE 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": "Forrest Ridge Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Salina Flores-Dingler
• Danielle Flowers, PA-C
• Mitchell Edward Flowers, PHARMD
• Flying Bagel Counseling Services
• FMG Clare Avenue Washington LLC
• Fogle Family Dentistry
• Jay Bradford Fogle, DDS
• Abbigayle Foiles, LMP
• Brian Christopher Foley, M.D.
• Yolanda Fong, RN

• Skilled Nursing Facility in Bremerton, WA
• Providers in Bremerton, 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.