FMG MENOMONEE AVENUE WISCONSIN LLC (NPI# 1902295702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902295702 |
| Entity Type | Organization |
| Organization Name | FMG MENOMONEE AVENUE WISCONSIN LLC |
| Other Organization Name | MENOMONEE FALLS HEALTH CARE |
| Practice Address |
N84w17049 Menomonee Ave Menomonee Falls WI 53051-2701 |
| Practice Telephone | 2622551180 |
| Practice Fax Number | 2622551638 |
| Mailing Telephone | 2622551180 |
| Mailing Fax Number | 2622551638 |
| 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 |
|---|---|
| Menomonee Falls Health Care | Doing Business As Name - Organization |
| Street Address |
N84W17049 MENOMONEE AVE |
| City | MENOMONEE FALLS |
| State | WI |
| Zip Code | 53051-2701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659445328 | Extendicare Homes, Inc. | Skilled Nursing Facility | N84w17049 Menomonee Ave, Menomonee Falls, WI 53051-2701 | 2006-11-17 |
| 1861954158 | D'shon Yarbrough | Occupational Therapy Assistant | N84w17049 Menomonee Ave, Menomonee Falls, WI 53051-2701 | 2019-04-04 |
| 1265904205 | Jennifer Ann Unger | Occupational Therapy Assistant | N84w17049 Menomonee Ave, Menomonee Falls, WI 53051-2701 | 2018-12-31 |
| 1104306331 | Leanne Kalsow | Physical Therapy Assistant | N84w17049 Menomonee Ave, Menomonee Falls, WI 53051-2701 | 2018-08-16 |
| 1407374291 | Nsh Menomonee LLC | Skilled Nursing Facility | N84w17049 Menomonee Ave, Menomonee Falls, WI 53051-2701 | 2017-09-01 |
| 1316303902 | Jason Hacht | Physical Therapy Assistant | N84w17049 Menomonee Ave, Menomonee Falls, WI 53051-2701 | 2016-01-12 |
| 1881957918 | Victoria Marie Egert | Physical Therapist | N84w17049 Menomonee Ave, Menomonee Falls, WI 53051-2701 | 2012-06-22 |
| 1033486618 | Emily Anne Conger | Occupational Therapist | N84w17049 Menomonee Ave, Menomonee Falls, WI 53051-2701 | 2011-11-25 |
| 1821316019 | Adam R Husk | Occupational Therapy Assistant | N84w17049 Menomonee Ave, Menomonee Falls, WI 53051-2701 | 2010-05-12 |
| 1760710693 | Angela Rae Derouin | Speech-Language Pathologist | N84w17049 Menomonee Ave, Menomonee Falls, WI 53051-2701 | 2009-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356968002 | Marisa Hiley | Nurse Practitioner | W129 N7055 Northfield Drive, Menomonee Falls, WI 53051 | 2020-06-29 |
| 1225687940 | Andres Sercovich | Pharmacist | W12501 Leatherwood Ct N74, Menomonee Falls, WI 53051 | 2019-09-05 |
| 1699329193 | Athletico Ltd | Physical Therapist | N88w15562 Main St, Menomonee Falls, WI 53051 | 2019-08-01 |
| 1386103059 | Aegis Group Practice LLC | Occupational Therapist | N48w14250 W Hampton Ave, Menomonee Falls, WI 53051 | 2019-03-13 |
| 1962969220 | Paladina Health, LLC | Family Medicine | Paladina Health Menomonee Falls, N84 W15787 Menomonee Avenue Suite 6, Menomonee Falls, WI 53051 | 2019-02-22 |
| 1053814772 | Waukesha County Community Dental Clinic, Inc. | Clinic/Center | N81w15062 Appleton Ave, Menomonee Falls, WI 53051 | 2018-03-09 |
| 1942753314 | Kelly Schmidt | Pharmacist | 200 Woodland Prime Ste 300, Menomonee Falls, WI 53051 | 2016-08-02 |
| 1386027548 | Generations Family Dental Care Menomonee Falls, LLC | Dentist | N48 W14170 Hampton Ave., Menomonee Falls, WI 53051 | 2015-07-07 |
| 1184007551 | Monjot Kaur Kang | Pharmacist | N82 W15882 Appleton Ave, Menomonee Falls, WI 53051 | 2015-07-03 |
| 1417334038 | Costco Wholesale Corporation | Hearing Aid Equipment | 9235 Pershing Avenue, Menomonee Falls, WI 53051 | 2015-05-04 |
| Find all providers in zip 53051 | ||||
| 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 |
|---|---|---|---|---|
| 1659445328 | Extendicare Homes, Inc. | Skilled Nursing Facility | N84w17049 Menomonee Ave, Menomonee Falls, WI 53051-2701 | 2006-11-17 |
| 1023190881 | Lindengrove, Inc. | Skilled Nursing Facility | W180n8071 Town Hall Rd, Menomonee Falls, WI 53051-3518 | 2006-10-20 |
| 1407374291 | Nsh Menomonee LLC | Skilled Nursing Facility | N84w17049 Menomonee Ave, Menomonee Falls, WI 53051-2701 | 2017-09-01 |
| 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 | ||||
| City | MENOMONEE FALLS |
| Zip Code | 53051 |
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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.