FMG Grimes Avenue North Minnesota LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FMG GRIMES AVENUE NORTH MINNESOTA LLC

Doing business as

Robbinsdale Rehabilitation and Care Center

Practice address

3130 Grimes Ave N
Robbinsdale, MN 55422-3217

Phone

(763) 588-0771

NPI assigned

Feb 24, 2015

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

• Robbinsdale Rehabilitation and Care Center Doing business as

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

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1568854891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 GRIMES AVE N",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554223217",
            "telephone_number": "763-588-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 GRIMES AVE N",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554223217",
            "telephone_number": "763-588-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FMG GRIMES AVENUE NORTH MINNESOTA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-24",
        "last_updated": "2015-02-24",
        "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": "Robbinsdale Rehabilitation and Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathryn Fischer, MD
• Mark Donald Fischer, M.D.
• Amy Fishman, P.A.
• Lauren E Fleddermann
• Sheila Anne Flynn, MD
• Sarah Foley, PA-C
• Jenny Lorraine Ford, CNP
• Ria Foslien, APRN, CNP
• Elyse Marie Fox, CNP
• Andrew James Frager, M.D.

• Skilled Nursing Facility in Robbinsdale, MN
• Providers in Robbinsdale, 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 Feb 24, 2015; 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.