FPG & LCD LLC (NPI# 1306281258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306281258 |
| Entity Type | Organization |
| Organization Name | FPG & LCD LLC |
| Other Organization Name | STONEY RIVER REHAB |
| Practice Address |
7805 Birch St Weston WI 54476-5219 |
| Practice Telephone | 7152983833 |
| Practice Fax Number | 7152984284 |
| Mailing Telephone | 7152984226 |
| Mailing Fax Number | 7152983833 |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2020-04-09 |
| Authorized Official Name | SALLY ANN CONWAY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7152983833 |
| Authorized Official Credential | MS CCC-SLP, NHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | WI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100030434 | 05 |
| Other Name | Type Code |
|---|---|
| Stoney River Rehab | Doing Business As Name - Organization |
| Street Address |
7805 BIRCH ST |
| City | WESTON |
| State | WI |
| Zip Code | 54476-5219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659993426 | Kimberley Boettcher | Physical Therapy Assistant | 7805 Birch St, Weston, WI 54476-5219 | 2020-05-14 |
| 1053899302 | Madison Baily Brummond | Occupational Therapist | 7805 Birch St, Weston, WI 54476-5219 | 2018-07-30 |
| 1720595366 | 3d Healthcare Consulting LLC | Clinic/Center | 7805 Birch St, Weston, WI 54476-5219 | 2018-01-04 |
| 1811409485 | Jessica Ryan - Geiger | Nurse Practitioner | 7805 Birch St, Weston, WI 54476-5219 | 2017-11-03 |
| 1972030856 | Qwapee Consulting LLC | Registered Nurse | 7805 Birch St, Weston, WI 54476-5219 | 2017-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407406309 | Kelly Hodge | Technician | 118 Marguerite St, Schofield, WI 54476 | 2019-09-13 |
| 1427557529 | Brandon David Parmer | Licensed Practical Nurse | 134 Kurth St, Schofield, WI 54476 | 2018-02-05 |
| 1558880583 | Kellie Cares Medical, LLC | Non-emergency Medical Transport (VAN) | 4311 Schofield Ave, #97, Weston, WI 54476 | 2017-09-11 |
| 1679018022 | Alexis Legenza | Behavioral Analyst | 4601 Camp Phillips Rd, Weston, WI 54476 | 2016-12-21 |
| 1699176487 | Reenu Mathew | Pharmacist | 5305 U.S. Hwy Business 51, Weston, WI 54476 | 2014-09-11 |
| 1063812246 | Brian Weiland | Psychologist | 2405 Schofield Ave Ste 220, Weston, WI 54476 | 2014-08-25 |
| 1194087759 | Susan C Coady | Physical Therapist | 4605 Valres Springs Court, Weston, WI 54476 | 2012-06-11 |
| 1053437467 | Emmie Jo Kasat | Speech-Language Pathologist | 4605 Valdres Springs Court, Weston, WI 54476 | 2007-03-21 |
| 1326181322 | Lisa Marie Skutak | Dentist | 700 Eagle Nest Boulevard, Suite E, Rothschild, WI 54476 | 2007-02-15 |
| 1205976776 | Quirt Family Dentistry Sc | Dentist | 3417 Schofield Avenue, Schofield, WI 54476 | 2007-02-07 |
| Find all providers in zip 54476 | ||||
| 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 |
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| 1881103315 | Geriatric Care Specialists Inc | Skilled Nursing Facility | 3156 Inverness, Weston, FL 33332-1816 | 2017-09-27 |
| 1508031311 | Peoplefirst Rehab | Skilled Nursing Facility | 5812 Decker St, Weston, WI 54476-3331 | 2008-04-23 |
| 1639343072 | Peoplefirst | Skilled Nursing Facility | 1700 Daley Ave, Weston, WI 54476-3827 | 2008-04-16 |
| 1073526372 | Campion Health & Wellness, Inc. | Skilled Nursing Facility | 319 Concord Road, Weston, MA 02493-1398 | 2006-08-15 |
| 1659307999 | Jacs Ops IIi Inc | Skilled Nursing Facility | 75 Norumbega Road, Weston, MA 02493 | 2006-06-25 |
| 1255977229 | Weston Ma Snf Management, LLC | Skilled Nursing Facility | 75 Norumbega Rd, Weston, MA 02493-2431 | 2019-11-25 |
| 1962867036 | Src Weston, LLC | Skilled Nursing Facility | 75 Norumbega Rd, Weston, MA 02493-2431 | 2015-12-16 |
| 1841438132 | Tdr, Inc. | Skilled Nursing Facility | 4605 Valdres Springs Court, Weston, WI 54476-4178 | 2009-01-26 |
| 1164602843 | Epoch Senior Healthcare of Weston, LLC | Skilled Nursing Facility | 75 Norumbega Rd, Weston, MA 02493-2431 | 2007-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962369 | Heritage Assisted Living, LLC | Skilled Nursing Facility | 5020 S 107th St, Greenfield, WI 53228-3267 | 2020-04-30 |
| 1235762881 | Imr Oak Creek Opco, LLC | Skilled Nursing Facility | 2700 West Honadel Boulevard, Oak Creek, WI 53154 | 2020-02-21 |
| 1831693936 | Golden Years Nursing Home, Inc. | Skilled Nursing Facility | 611 Harmony Dr, Lake Geneva, WI 53147-8800 | 2018-03-22 |
| 1801302732 | Oak Park Place of Janesville, LLC | Skilled Nursing Facility | 700 Myrtle Way, Janesville, WI 53545-9101 | 2017-12-14 |
| 1235674839 | Zachary Rader | Skilled Nursing Facility | 645 N Church St, Elkhorn, WI 53121-2204 | 2017-01-05 |
| 1982155248 | The Bethany-st. Joseph Corporation D/b/a Prairie Pointe Rehab Suites | Skilled Nursing Facility | 286 N. Willson Dr, Altoona, WI 54720 | 2016-10-20 |
| 1316492317 | Darcy Christiansen | Skilled Nursing Facility | 4427 E Pic A Dilly Dr, Janesville, WI 53546-9606 | 2016-08-19 |
| 1366895583 | Jeffrey Alan Weinshrott | Skilled Nursing Facility | 336 Wisconsin Ave, Sheboygan, WI 53081-4183 | 2016-07-22 |
| 1720433378 | Kendra Meyers | Skilled Nursing Facility | 1806 N Hume Ave Apt 4, Marshfield, WI 54449-1677 | 2016-05-02 |
| 1952756991 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 206 North Willson Drive, Altoona, WI 54720 | 2016-04-27 |
| Find all providers with the same taxonomy | ||||
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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.