FMG First Avenue Northwest Minnesota LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FMG FIRST AVENUE NORTHWEST MINNESOTA LLC

Doing business as

Health and Rehabilitation of New Brighton

Practice address

825 1St Ave NW
New Brighton, MN 55112-6846

Phone

(651) 633-7875

Fax

(651) 628-9335

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 Keating

Title

Authorized Official

Phone

(414) 908-8058

Specialties & licenses 1

Addresses

Other names 1

• Health and Rehabilitation of New Brighton 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": "1419379200000",
    "number": "1548658602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 1ST AVE NW",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551126846",
            "telephone_number": "651-633-7875",
            "fax_number": "651-628-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 1ST AVE NW",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551126846",
            "telephone_number": "651-633-7875",
            "fax_number": "651-628-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FMG FIRST AVENUE NORTHWEST MINNESOTA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-24",
        "last_updated": "2014-12-24",
        "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": "Health and Rehabilitation of New Brighton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• April W Fleck, LICSW
• Joy Fleming, LP
• Beverly K Fletcher, LICSW
• Tara Lujuan Floersch, LICSW
• Kathleen Sue Flynn Higby, MSSW, LICSW
• Brianna Therese Fourdyce
• Victori Ann Freiermuth, PTA
• Friendly Psychological Professionals
• Jennifer Fritz, MS, LPCC
• Tammy Jon Frost Johnson, LADC

• Skilled Nursing Facility in New Brighton, MN
• Providers in New Brighton, MN by specialty
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.