FMG East Dalke Avenue Washington LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FMG EAST DALKE AVENUE WASHINGTON LLC

Doing business as

Cherrywood Place

Practice address

100 E Dalke Ave
Spokane, WA 99208-1006

Phone

(509) 484-3553

Fax

(509) 484-3585

NPI assigned

Aug 6, 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

• Cherrywood Place Doing business as

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

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438819200000",
    "number": "1962888479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E DALKE AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992081006",
            "telephone_number": "509-484-3553",
            "fax_number": "509-484-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E DALKE AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992081006",
            "telephone_number": "509-484-3553",
            "fax_number": "509-484-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FMG EAST DALKE AVENUE WASHINGTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-06",
        "last_updated": "2015-08-06",
        "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": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cherrywood Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Forrest Floyd, MD
• Steve Floyd
• Joseph Fluckiger, LCSW
• Shad Fly
• Daniel Alan Flynn III
• FMG North Lidgerwood Street Washington LLC
• Zachary Fobar
• Alyssa Belle Fobes
• Amelia Focher
• Kaitlin Fogelson

• Assisted Living Facility in Spokane, WA
• Providers in Spokane, WA by specialty
• Assisted Living Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.