FMG FIRST AVENUE NORTHWEST MINNESOTA LLC (NPI# 1548658602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548658602 |
| Entity Type | Organization |
| Organization Name | FMG FIRST AVENUE NORTHWEST MINNESOTA LLC |
| Other Organization Name | HEALTH AND REHABILITATION OF NEW BRIGHTON |
| Practice Address |
825 1st Ave Nw New Brighton MN 55112-6846 |
| Practice Telephone | 6516337875 |
| Practice Fax Number | 6516289335 |
| Mailing Telephone | 6516337875 |
| Mailing Fax Number | 6516289335 |
| Enumeration Date | 2014-12-24 |
| Last Update Date | 2014-12-24 |
| Authorized Official Name | DAVID KEATING (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 4149088058 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Health and Rehabilitation of New Brighton | Doing Business As Name - Organization |
| Street Address |
825 1ST AVE NW |
| City | NEW BRIGHTON |
| State | MN |
| Zip Code | 55112-6846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568541514 | Extendicare Homes, Inc. | Skilled Nursing Facility | 825 1st Ave Nw, New Brighton, MN 55112-6846 | 2006-11-02 |
| 1477062941 | New Brighton Opco, LLC | Skilled Nursing Facility | 825 1st Ave Nw, New Brighton, MN 55112-6846 | 2017-09-27 |
| 1255840369 | Leah Marie Anderson | Physical Therapy Assistant | 825 1st Ave Nw, New Brighton, MN 55112-6846 | 2017-09-21 |
| 1245600964 | Leah Danielle Johnson | Occupational Therapist | 825 1st Ave Nw, New Brighton, MN 55112-6846 | 2015-10-07 |
| 1265828206 | Kara Lynne Weigand | Occupational Therapist | 825 1st Ave Nw, New Brighton, MN 55112-6846 | 2015-04-07 |
| 1952790073 | Kathy Lemke | Occupational Therapist | 825 1st Ave Nw, New Brighton, MN 55112-6846 | 2015-01-13 |
| 1093116832 | Amy Rosenbaum | Speech-Language Pathologist | 825 1st Ave Nw, New Brighton, MN 55112-6846 | 2014-09-11 |
| 1073914818 | Jennifer Lynn Wiitala | Physical Therapy Assistant | 825 1st Ave Nw, New Brighton, MN 55112-6846 | 2014-09-11 |
| 1972937225 | Elizabeth Clare Drewes | Physical Therapist | 825 1st Ave Nw, New Brighton, MN 55112-6846 | 2013-08-22 |
| 1780931584 | Ashley Annmarie Haddenhorst | Physical Therapy Assistant | 825 1st Ave Nw, New Brighton, MN 55112-6846 | 2012-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932729704 | Owegio Wreh | Technician | 1405 Silver Lake Road Suite 15, New Brighton, MN 55112 | 2020-04-22 |
| 1205497435 | Silver Lake Smiles Family Dentistry | Clinic/Center | 2370 Palmer Drive, New Brighton, MN 55112 | 2019-06-27 |
| 1932766169 | Matthew Thomas Hanowski | Dentist | 2442 Mounds View Boulevard, Mounds View, MN 55112 | 2019-05-22 |
| 1437619988 | Marjean Diane Leary | Registered Nurse | 338 New Brighton Road, Apt, Suite, Bldg. (optional), New Brighton, MN 55112 | 2019-03-21 |
| 1558802728 | Krishna Katira | Student in an Organized Health Care Education/Training Program | 2442 County Hwy 10, Mounds View, MN 55112 | 2017-03-20 |
| 1245781608 | Evan Fredrick Lieberman | Counselor | 1900 Silver Lake Rd, Suite 110, New Brighton, MN 55112 | 2016-10-20 |
| 1093262065 | Ryan Zinken | Nurse Practitioner | 1900 Silver Lake Road, Suite 110, New Brighton, MN 55112 | 2016-09-07 |
| 1447703228 | Alison Glodek | Social Worker | 2543 17th St Nw, New Brighton, MN 55112 | 2016-07-28 |
| 1659728194 | Ge Vang Sr. | Driver | 2160 County Road E West #205, 2160 County Road E West #205, New Brighton, MN 55112 | 2016-05-14 |
| 1114373578 | Jessica Gapinski | Specialist/Technologist | 3900 Bethel Drive, Arden Hills, MN 55112 | 2016-05-04 |
| Find all providers in zip 55112 | ||||
| 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 |
|---|---|---|---|---|
| 1568541514 | Extendicare Homes, Inc. | Skilled Nursing Facility | 825 1st Ave Nw, New Brighton, MN 55112-6846 | 2006-11-02 |
| 1336135524 | Benedictine Care Centers | Skilled Nursing Facility | 1101 Black Oak Dr, New Brighton, MN 55112-8400 | 2005-09-22 |
| 1528053014 | North Cities Health Care, Inc. | Skilled Nursing Facility | 805 6th Ave Nw, New Brighton, MN 55112-2717 | 2005-09-12 |
| 1477062941 | New Brighton Opco, LLC | Skilled Nursing Facility | 825 1st Ave Nw, New Brighton, MN 55112-6846 | 2017-09-27 |
| 1780016410 | Sherrie L Lange | Skilled Nursing Facility | 805 6th Ave Nw, New Brighton, MN 55112-2717 | 2013-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639707177 | Prairie Bluffs Rehabilitation Center LLC | Skilled Nursing Facility | 10300 Hennepin Town Rd, Eden Prairie, MN 55347-5100 | 2020-03-30 |
| 1881221869 | Natalie Sears | Skilled Nursing Facility | 1200 Cheri Ln Ne Apt 5, Fridley, MN 55421-1213 | 2020-03-26 |
| 1396210779 | Southview Operations LLC | Skilled Nursing Facility | 2000 Oakdale Avenue, West St. Paul, MN 55118 | 2018-10-11 |
| 1144707811 | Victory Health Operations, LLC | Skilled Nursing Facility | 512 - 49th Avenue North, Minneapolis, MN 55430-3621 | 2018-07-25 |
| 1710473434 | Cg Care Center, LLC. | Skilled Nursing Facility | 6993 80th Street South, Cottage Grove, MN 55016 | 2018-07-05 |
| 1457863466 | Seasons Healthcare of Trimont, Inc | Skilled Nursing Facility | 305 Broadway Avenue South, Trimont, MN 56176 | 2017-10-31 |
| 1760903157 | St. John's Lutheran Home | Skilled Nursing Facility | 1771 Eagle View Cir, Albert Lea, MN 56007-1817 | 2017-07-06 |
| 1114458221 | Lakeland Homecare LLC | Skilled Nursing Facility | 1604 Covington Ln, Eagan, MN 55122-2759 | 2017-03-22 |
| 1952842197 | Nsh Rochester East LLC | Skilled Nursing Facility | 501 8th Ave Se, Rochester, MN 55904-4834 | 2017-03-20 |
| 1750827234 | Walker Operations LLC | Skilled Nursing Facility | 209 Birchwood Avenue West, Walker, MN 56484 | 2017-01-09 |
| Find all providers with the same taxonomy | ||||
| City | NEW BRIGHTON |
| Zip Code | 55112 |
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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.