Organization Active NPI

FMC Medical LLC

  • Assisted Living Facility
  • Brookfield, OH
National Provider Identifier
1811748635
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 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
Last updated
Aug 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Francesca Crum, CRNPNPI 1972022804
Title
CRNP
Phone
(724) 714-4936

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

7525 Warren Sharon Rd
Brookfield, OH 44403-9796

Mailing address

241 W Parkside Dr
New Castle, PA 16105-1081
Phone (724) 714-4936

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240815003627 OH Part B Supplier - Clinic/Group Practice 1254879612 Receives reassigned benefits from 1 practitioner
Practice locations: Brookfield, OH

National Provider Directory

National Provider Directory

Locations

7525 Warren Sharon Rd
Brookfield, OH 44403
Phone (330) 369-5030

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "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": []
}

Other providers in Brookfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.