FMG PORTLAND AVENUE SOUTH MINNESOTA LLC (NPI# 1063801868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063801868 |
| Entity Type | Organization |
| Organization Name | FMG PORTLAND AVENUE SOUTH MINNESOTA LLC |
| Other Organization Name | RICHFIELD HEALTH CENTER |
| Practice Address |
7727 Portland Ave Richfield MN 55423-4320 |
| Practice Telephone | 6128611691 |
| Mailing Telephone | 6128611691 |
| 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 |
|---|---|
| Richfield Health Center | Doing Business As Name - Organization |
| Street Address |
7727 PORTLAND AVE |
| City | RICHFIELD |
| State | MN |
| Zip Code | 55423-4320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184798779 | Extendicare Homes, Inc. | Skilled Nursing Facility | 7727 Portland Ave, Richfield, MN 55423-4320 | 2006-11-17 |
| 1205483948 | Kristina Fiscus | Speech-Language Pathologist | 7727 Portland Ave, Richfield, MN 55423-4320 | 2019-08-19 |
| 1245716752 | Gwenda Fame Alarca Fojas | Occupational Therapy Assistant | 7727 Portland Ave, Richfield, MN 55423-4320 | 2018-07-17 |
| 1831608306 | Richfield Opco, LLC | Skilled Nursing Facility | 7727 Portland Ave, Richfield, MN 55423-4320 | 2017-09-27 |
| 1528413150 | Juan-ita Effiom | Specialist | 7727 Portland Ave, Richfield, MN 55423-4320 | 2016-05-02 |
| 1285030767 | Leah Tacheny | Occupational Therapist | 7727 Portland Ave, Richfield, MN 55423-4320 | 2014-11-11 |
| 1346644374 | Maria Ann Hone | Speech-Language Pathologist | 7727 Portland Ave, Richfield, MN 55423-4320 | 2014-10-20 |
| 1508273244 | Dana Bullock | Occupational Therapy Assistant | 7727 Portland Ave, Richfield, MN 55423-4320 | 2014-07-15 |
| 1356751747 | Laura Frisby | Occupational Therapist | 7727 Portland Ave, Richfield, MN 55423-4320 | 2014-05-06 |
| 1083037626 | Ashley Larocque | Physical Therapy Assistant | 7727 Portland Ave, Richfield, MN 55423-4320 | 2014-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841844081 | Ann Niebuhr | Counselor | 6417 Penn Ave S Ste 8 #2, Minneapolis, MN 55423 | 2019-07-25 |
| 1073021077 | Alton John Olson | Surgery | 7008 - Morgan Avenue South, Richfield, MN 55423 | 2018-01-12 |
| 1992238190 | Certified Care Planner LLC | Home Health | 1515 E 66th Street Suite 105, Richfield, MN 55423 | 2017-04-05 |
| 1245780121 | Rachel Lauren Marston | Audiologist | 7745 2nd Ave S., Suite 1, Richfield, MN 55423 | 2016-10-04 |
| 1023564093 | Justine Welch Mastin | Counselor | 6640 Lyndale Ave S Ste 110, Minneapolis, MN 55423 | 2016-08-30 |
| 1215480942 | Smart Choice Mri, LLC | Clinic/Center | 1704 E 66th St, Minneapolis, MN 55423 | 2016-07-29 |
| 1225425531 | Maria Lourdes Nolasco De Leon | Registered Nurse | 6511 12th Ave. S, Richfield, MN 55423 | 2015-04-24 |
| 1508261926 | Ally Medical Supply | Durable Medical Equipment & Medical Supplies | 6238 Lyndale Ave South, Suite # 2, Richfield, MN 55423 | 2014-10-28 |
| 1811230097 | Barb Rose Olson | Registered Nurse | 6461 Lyndale Ave. So, Richfield, MN 55423 | 2013-04-05 |
| 1902149404 | Nina Kae Hanevik | Registered Nurse | 6461 Lyndale Ave So, Richfield, MN 55423 | 2013-04-03 |
| Find all providers in zip 55423 | ||||
| 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 |
|---|---|---|---|---|
| 1932672771 | Gunnison Valley Hospital | Skilled Nursing Facility | 163 E 1000 N, Richfield, UT 84701-1880 | 2019-01-04 |
| 1144554734 | Kane County Human Resource Special Service District | Skilled Nursing Facility | 125 E 600 N, Richfield, UT 84701-1925 | 2009-09-29 |
| 1184798779 | Extendicare Homes, Inc. | Skilled Nursing Facility | 7727 Portland Ave, Richfield, MN 55423-4320 | 2006-11-17 |
| 1245266915 | Regina Health Center | Skilled Nursing Facility | 5232 Broadview Rd, Richfield, OH 44286-9481 | 2006-06-24 |
| 1336122043 | Friends of The Zendt Home Inc. | Skilled Nursing Facility | Main St., Richfield, PA 17086 | 2005-11-28 |
| 1669453403 | Brecksville Leasing Co., LLC | Skilled Nursing Facility | 4360 Brecksville Rd, Richfield, OH 44286-9457 | 2005-11-09 |
| 1053312728 | Richfield Care Center, LLC | Skilled Nursing Facility | 83 E 1100 N, Richfield, UT 84701-1853 | 2005-08-03 |
| 1558856690 | Blue Stream Rehab and Nursing LLC | Skilled Nursing Facility | 4360 Brecksville Rd, Richfield, OH 44286-9457 | 2018-06-29 |
| 1831608306 | Richfield Opco, LLC | Skilled Nursing Facility | 7727 Portland Ave, Richfield, MN 55423-4320 | 2017-09-27 |
| 1447574553 | Genesis Health Care | Skilled Nursing Facility | 4360 Brecksville Rd, Richfield, OH 44286-9457 | 2010-03-18 |
| Find all providers in RICHFIELD | ||||
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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.