FMRM,LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

786 Issued in LA

Legal business name

FMRM,LLC

Doing business as

Matthews Memorial Health Care Center

Practice address

5100 Jackson Street Ext
Alexandria, LA 71303-2317

Phone

(318) 445-5215

Fax

(318) 442-8067

NPI assigned

Jul 23, 2006

Last updated

Jan 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Renee J Matthews

Title

Owner/Administrator

Phone

(318) 445-5215

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Matthews Memorial Health Care Center Doing business as

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1972524858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 JACKSON STREET EXT",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032317",
            "telephone_number": "318-445-5215",
            "fax_number": "318-442-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 JACKSON STREET EXT",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032317",
            "telephone_number": "318-445-5215",
            "fax_number": "318-442-8067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FMRM,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "318-445-5215"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1514624",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "31056",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matthews Memorial Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Barbara Diane Flowers
• Dawn Flowers
• Sharlie B Flowers
• Stacey Michel Flowers
• Jessica Floyd, PMHNP-BC
• Comfort Folarin, LAC
• Oladapo Folarin, M. D.
• Robert Lepine Fontane, M.D.
• Angielle Rae Nicole Fontenot
• Dana Beth Fontenot, APRN, FNP-BC

• Skilled Nursing Facility in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Skilled Nursing Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.