FORTIS MANAGEMENT GROUP LLC (NPI# 1154713337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154713337 |
| Entity Type | Organization |
| Organization Name | FORTIS MANAGEMENT GROUP LLC |
| Practice Address |
111 W Michigan St Milwaukee WI 53203-2903 |
| Practice Telephone | 4149088019 |
| Mailing Telephone | 4149088019 |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2015-02-25 |
| Authorized Official Name | ARTHUR KEUP (DIRECTOR OF REIMBURSEMENT) |
| Authorized Official Telephone | 4149088019 |
| Is Organization Subpart | Y |
| Parent Organization Name | FORTIS MANAGEMENT HOLDINGS INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Street Address |
111 W MICHIGAN ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53203-2903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053357814 | Catherine Jeanne Demers | Occupational Therapist | 111 W Michigan St, Milwaukee, WI 53203-2903 | 2006-06-21 |
| 1659754166 | Fortis Management Holdings, Inc. | Skilled Nursing Facility | 111 W Michigan St, Milwaukee, WI 53203-2903 | 2015-07-01 |
| 1598168858 | Jordan English | Physical Therapy Assistant | 111 W Michigan St, Milwaukee, WI 53203-2903 | 2014-10-01 |
| 1467865709 | Jennifer Knox Gayler | Physical Therapist | 111 W Michigan St, Milwaukee, WI 53203-2903 | 2014-06-04 |
| 1831501071 | Shari Diane Kiser | Speech-Language Pathologist | 111 W Michigan St, Milwaukee, WI 53203-2903 | 2014-05-22 |
| 1386064871 | Ashley Marie Wolfe | Occupational Therapy Assistant | 111 W Michigan St, Milwaukee, WI 53203-2903 | 2014-04-23 |
| 1588087886 | Joy Gravos | Speech-Language Pathologist | 111 W Michigan St, Milwaukee, WI 53203-2903 | 2014-01-23 |
| 1548691280 | Leigh Carr | Physical Therapy Assistant | 111 W Michigan St, Milwaukee, WI 53203-2903 | 2013-12-05 |
| 1629408265 | Laura Renee Swihart | Physical Therapy Assistant | 111 W Michigan St, Milwaukee, WI 53203-2903 | 2013-11-18 |
| 1770913758 | Sarah Papakie | Occupational Therapist | 111 W Michigan St, Milwaukee, WI 53203-2903 | 2013-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013463272 | Kameela Jackson | Registered Nurse | 606 E Juneaue Ave. 511812, Milwaukee, WI 53203 | 2016-08-28 |
| 1528239928 | Christina Marie Sauber | Physical Therapy Assistant | 111 W. Michigan Street, Milwaukee, WI 53203 | 2008-03-13 |
| 1720273493 | Michelle Lynn Vogel | Speech-Language Pathologist | 111 West Michigan St, Prostep/extendicare Healthservices, Milwaukee, WI 53203 | 2007-09-06 |
| 1265572564 | Eye Care of Wisconsin, Inc | Health Maintenance Organization | 740 North Plankinton Ave, #730b, Milwaukee, WI 53203 | 2007-02-07 |
| 1073687349 | Riverwalk Psychotherapy Associates, LLC | Social Worker | 1110 N. Old World Third St., Suite 401, Milwaukee, WI 53203 | 2006-11-20 |
| 1144793423 | Carissa Deanna Basile | Behavioral Analyst | 525 N 6th St, Milwaukee, WI 53203 | 2019-01-09 |
| 1275975807 | Sandra Eiler | Counselor | 633 W Wisconsin Ave, Suite 1810, Milwaukee, WI 53203 | 2013-07-24 |
| 1154693331 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 826 N Plankinton Ave Ste 100, Milwaukee, WI 53203 | 2012-02-02 |
| 1023131240 | Gina G Negrette | Psychiatry & Neurology | 820 N Plankinton Ave, Milwaukee, WI 53203 | 2007-04-10 |
| 1255488292 | Melinda Hughes | Counselor | 1110 N Old World 3rd St, Suite 401, Milwaukee, WI 53203-1100 | 2007-01-04 |
| Find all providers in zip 53203 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780079046 | Rivershore Clinic | Skilled Nursing Facility | 3707 N. Richards St., Milwaukee Health Service, Milwaukee, WI 53212-1673 | 2015-04-03 |
| 1184943540 | Heavenly Touch Nursing | Skilled Nursing Facility | 5606 N 94th St, Milwaukee, WI 53225-2602 | 2010-05-25 |
| 1962731331 | Highland Heights | Skilled Nursing Facility | 2816 N 49th St, Milwaukee, WI 53210-1651 | 2009-12-15 |
| 1427385038 | Marys Adult Family Services LLC | Skilled Nursing Facility | 2802 N 40th St, Suite 210, Milwaukee, WI 53210-1806 | 2009-11-03 |
| 1649464645 | Independent Nurse | Skilled Nursing Facility | 1919 N 19th St, Milwaukee, WI 53205-1547 | 2007-09-02 |
| 1740482181 | Diane L Weidner | Skilled Nursing Facility | 190 W Allerton Ave, Milwaukee, WI 53207-4910 | 2007-06-05 |
| 1235355967 | Dominican Sisters Corp. St Ann Rest Home | Skilled Nursing Facility | 2020 S Muskego Ave, Milwaukee, WI 53204-3622 | 2007-04-18 |
| 1295866325 | Saint John's Communities, Inc. | Skilled Nursing Facility | 1840 N Prospect Ave, Milwaukee, WI 53202-1975 | 2007-03-08 |
| 1578612081 | Cameo Care Center Inc. | Skilled Nursing Facility | 5790 S 27th St, Milwaukee, WI 53221-4129 | 2007-01-10 |
| 1215092184 | Delphi Healthcare LLC | Skilled Nursing Facility | 2115 E Woodstock Pl, Milwaukee, WI 53202-1342 | 2006-12-22 |
| Find all providers in MILWAUKEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.