FMG NEW PINE DRIVE WISCONSIN LLC


Address: 2512 New Pine Dr, Altoona, WI 54720-1378
Phone: 7158330400

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Oakwood Villa Doing Business As Name - Organization

Office Location

Street Address 2512 NEW PINE DR
City ALTOONA
State WI
Zip Code 54720-1378

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City ALTOONA
Zip Code 54720

Improve Information

Please comment or provide details below to improve the information on FMG NEW PINE DRIVE WISCONSIN LLC.

Dataset Information

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.

Trending Searches