FMG North Bradley Highway Michigan LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FMG NORTH BRADLEY HIGHWAY MICHIGAN LLC

Doing business as

Tendercare Health Center - Rogers City

Practice address

555 N Bradley Hwy
Rogers City, MI 49779-1539

Phone

(989) 734-2151

Fax

(989) 734-4311

NPI assigned

Dec 17, 2014

Last updated

Dec 23, 2014By 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

David Keating

Title

Authorized Official

Phone

(414) 908-8058

Specialties & licenses 1

Addresses

Other names 1

• Tendercare Health Center - Rogers City Doing business as

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419292800000",
    "number": "1972901312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N BRADLEY HWY",
            "city": "ROGERS CITY",
            "state": "MI",
            "postal_code": "497791539",
            "telephone_number": "989-734-2151",
            "fax_number": "989-734-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N BRADLEY HWY",
            "city": "ROGERS CITY",
            "state": "MI",
            "postal_code": "497791539",
            "telephone_number": "989-734-2151",
            "fax_number": "989-734-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FMG NORTH BRADLEY HIGHWAY MICHIGAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-17",
        "last_updated": "2014-12-23",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tendercare Health Center - Rogers City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emilie P Cline
• Austin Fairbanks
• Michael B Fairbanks, M.D.
• Russell Austin Fairbanks, D.C.
• Meagan Elayn Florip, LMSW
• Gajewski Inc
• Gajewski Inc (McLean Pharmacy)
• Thomas Leo Gajewski, PHARMD
• Jennifer Geyer, LPTA
• Theresa R Gibson, LMSW

• Skilled Nursing Facility in Rogers City, MI
• Providers in Rogers City, MI by specialty
• Skilled Nursing Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; 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.