NPIMap

Organization Active NPI

FMG Long Rapids Road Michigan LLC

  • Skilled Nursing Facility
  • Alpena, MI
National Provider Identifier
1487052825
Registry record updated Dec 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FMG LONG RAPIDS ROAD MICHIGAN LLC
Doing business as
Tendercare Alpena
Practice address
301 Long Rapids Rd
Alpena, MI 49707-1317
Phone
(989) 356-2194
Fax
(989) 356-6874
NPI assigned
Dec 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2014

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

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

301 Long Rapids Rd
Alpena, MI 49707-1317

Mailing address

301 Long Rapids Rd
Alpena, MI 49707-1317
Phone (989) 356-2194

Other names 1

  • Tendercare Alpena Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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": "1487052825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LONG RAPIDS RD",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071317",
            "telephone_number": "989-356-2194",
            "fax_number": "989-356-6874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 LONG RAPIDS RD",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071317",
            "telephone_number": "989-356-2194",
            "fax_number": "989-356-6874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FMG LONG RAPIDS ROAD 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 Alpena",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alpena, MI

Sources for this page

  • 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.