FMG South Rapids Road Wisconsin LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FMG SOUTH RAPIDS ROAD WISCONSIN LLC

Doing business as

River's Bend Health and Rehabilitation Center

Practice address

960 S Rapids Rd
Manitowoc, WI 54220-4146

Phone

(920) 684-1144

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

• River's Bend Health and Rehabilitation 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": "1962894295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 S RAPIDS RD",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204146",
            "telephone_number": "920-684-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 S RAPIDS RD",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204146",
            "telephone_number": "920-684-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FMG SOUTH RAPIDS ROAD WISCONSIN 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": "River's Bend Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brooke Fischer
• Bryce Fischer, DC
• Amanda Fisher, HIS
• Alyssa Flasrud, COTA
• Ellen Floate, SAC-IT
• Catherine R Forbes, SAC
• Ashley T Ford, PA-C
• Forefront Dermatology, S.C.
• Forefront Dermatology, S.C.
• Theresa B Franz

• Skilled Nursing Facility in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• Skilled Nursing Facility in Wisconsin

• 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.