National Provider Identifier Database

FMG WEST LACROSSE AVENUE IDAHO LLC
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.


Contact Information

FMG WEST LACROSSE AVENUE IDAHO LLC
210 W LACROSSE AVE
COEUR D'ALENE, ID83814-2403
Phone: 208-664-2185
Fax: 208-664-1604
Website:
Specialty Taxonomy Code
* Skilled Nursing Facility 314000000X

* Indicates primary specialty

NPI Profile & details for FMG WEST LACROSSE AVENUE IDAHO LLC

NPI Number 1811385974
Legal business name
LBN
FMG WEST LACROSSE AVENUE IDAHO LLC
Authorized official DAVID KEATING - (SECRETARY AGENT)
Entity Organization
Organization subpart No
Enumeration date 12/24/2014
Last updated 11/07/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for FMG WEST LACROSSE AVENUE IDAHO LLC

There are currently no reviews for FMG WEST LACROSSE AVENUE IDAHO LLC


NPIdb - Home
v2.201