FMC Medical LLC

Key facts

NPI

1811748635

Entity type

Organization (NPI type 2)

Primary specialty

Assisted Living Facility 310400000X

Legal business name

FMC MEDICAL LLC

Practice address

7525 Warren Sharon Rd
Brookfield, OH 44403-9796

Phone

(330) 448-2822

NPI assigned

Mar 29, 2024

Organization subpart

No

Authorized official

Name

Francesca Crum, CRNP NPI 1972022804

Title

CRNP

Phone

(724) 714-4936

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Francesca Marie Crum, CNP Family Nurse Practitioner · Boardman, OH · NPI 1972022804
  Medicare reassignment NPD Authorized official OH

Medicare participation

Medicare fee-for-service enrollment

Enrolled in OH

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 16, 2024.

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1811748635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 W PARKSIDE DR",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161051081",
            "telephone_number": "724-714-4936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 WARREN SHARON RD",
            "city": "BROOKFIELD",
            "state": "OH",
            "postal_code": "444039796",
            "telephone_number": "330-448-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FMC MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-29",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "CRUM",
        "authorized_official_first_name": "FRANCESCA",
        "authorized_official_title_or_position": "CRNP",
        "authorized_official_telephone_number": "724-714-4936",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Brookfield, OH · Assisted Living Facility in Ohio