FMG NEW PINE DRIVE WISCONSIN LLC (NPI# 1740679547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740679547 |
Entity Type | Organization |
Organization Name | FMG NEW PINE DRIVE WISCONSIN LLC |
Other Organization Name | OAKWOOD VILLA |
Practice Address |
2512 New Pine Dr Altoona WI 54720-1378 |
Practice Telephone | 7158330400 |
Practice Fax Number | 7158330546 |
Mailing Telephone | 7158330400 |
Mailing Fax Number | 7158330546 |
Enumeration Date | 2015-01-16 |
Last Update Date | 2015-01-16 |
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 |
---|---|
Oakwood Villa | Doing Business As Name - Organization |
Street Address |
2512 NEW PINE DR |
City | ALTOONA |
State | WI |
Zip Code | 54720-1378 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790739712 | Steven D Cook | Emergency Medicine | 2512 New Pine Dr, Altoona, WI 54720-1378 | 2006-05-22 |
1760900559 | Nsh Altoona LLC | Skilled Nursing Facility | 2512 New Pine Dr, Altoona, WI 54720-1378 | 2017-09-01 |
1477969350 | Megan Ziemann | Speech-Language Pathologist | 2512 New Pine Dr, Altoona, WI 54720-1378 | 2014-07-11 |
1588946420 | Kristi Marie Kastelic | Occupational Therapy Assistant | 2512 New Pine Dr, Altoona, WI 54720-1378 | 2011-09-16 |
1518274018 | Lindsey Cynthia Hart | Physical Therapy Assistant | 2512 New Pine Dr, Altoona, WI 54720-1378 | 2010-09-03 |
1003023433 | Paul Joseph Dery | Occupational Therapy Assistant | 2512 New Pine Dr, Altoona, WI 54720-1378 | 2007-05-16 |
1437363397 | Autumn Renee Simpson | Physical Therapy Assistant | 2512 New Pine Dr, Altoona, WI 54720-1378 | 2007-05-10 |
1285848200 | Eric Martin Kauffmann | Physical Therapist | 2512 New Pine Dr, Altoona, WI 54720-1378 | 2007-05-09 |
1427262872 | Erin L Smith | Speech-Language Pathologist | 2512 New Pine Dr, Altoona, WI 54720-1378 | 2007-05-09 |
1720292105 | Gina L. Ostrowski | Physical Therapist | 2512 New Pine Dr, Altoona, WI 54720-1378 | 2007-05-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1821541046 | Stephanie Meyer | Optometrist | 3063 Meadowlark Ln, #10, Altoona, WI 54720 | 2016-07-25 |
1952756991 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 206 North Willson Drive, Altoona, WI 54720 | 2016-04-27 |
1669826095 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 286 North Willson Dr., Altoona, WI 54720 | 2016-04-22 |
1366881781 | Ingrid Ellen Schroeder | Occupational Therapy Assistant | 1203 Bartlett Avenue, Altoona, WI 54720 | 2013-06-19 |
1790972099 | Assisted Living Concepts Inc | Assisted Living Facility | 342 Twin Oak Drive, Altoona, WI 54720 | 2007-10-01 |
1427262302 | Amanda Lynn Busse | Occupational Therapy Assistant | 2512 New Pine Drive, Altoona, WI 54720 | 2007-05-09 |
1316954928 | Oral and Maxillofacial Surgery Asso of Eau Claire Sc | Oral & Maxillofacial Surgery | 788 Oakleaf Way, Altoona, WI 54720 | 2006-08-03 |
1740230838 | Jodi Hansen Ritsch | Family Medicine | 1476 Blazing Star Blvd, Suite 4, Altoona, WI 54720 | 2006-05-11 |
1225095508 | Kirsten L Taylor | Counselor | 2519 North Hillcrest Parkway, Suite 103, Altoona, WI 54720 | 2006-04-28 |
Find all providers in zip 54720 |
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 |
---|---|---|---|---|
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 |
1679028088 | Guardian Elder Care At Altoona LLC | Skilled Nursing Facility | 700 S Cayuga Ave, Altoona, PA 16602-4303 | 2016-08-16 |
1952756991 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 206 North Willson Drive, Altoona, WI 54720 | 2016-04-27 |
1669826095 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 286 North Willson Dr., Altoona, WI 54720 | 2016-04-22 |
1558799031 | Ccrc of Altoona LLC | Skilled Nursing Facility | 2785 1st Ave S, Altoona, IA 50009-8820 | 2013-10-21 |
1275584658 | Ggnsc Altoona Hillview Lp | Skilled Nursing Facility | 700 Cayuga Ave, Altoona, PA 16602-4303 | 2006-05-12 |
1841259702 | Centers for Long Term Care of Iowa, Inc | Skilled Nursing Facility | 200 7th Ave Sw, Altoona, IA 50009-1630 | 2006-03-20 |
1235105834 | County of Blair | Skilled Nursing Facility | 301 Valley View Blvd, Altoona, PA 16602-6409 | 2006-02-24 |
1609868595 | Altoona Health & Rehab, Inc. | Skilled Nursing Facility | 6532 Walnut Grove Rd, 6532 Walnut Grove Rd, Altoona, AL 35952-8405 | 2005-08-17 |
1962409060 | Altoona Center for Nursing Care, LLC | Skilled Nursing Facility | 1020 Green Ave, Altoona, PA 16601-4623 | 2005-07-05 |
Find all providers in ALTOONA |
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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.