Stoney River Rehab

LBN: Fpg & Lcd Llc
Stoney River Rehab is an health care organization with primary practice located at 7805 Birch St , Weston WI 54476-5219. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Fpg & Lcd Llc can be contacted via phone (715) 298-3833, or through Conway, Sally Ann via phone (715) 298-3833.

Contact Information

Primary practice address
7805 Birch St Weston WI 54476-5219
Fax: (715) 298-4284
Website:
Authorized official contact:
Name: Conway, Sally Ann MS CCC-SLP, NHA

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X Wisconsin

Profile Details

NPI number 1306281258
LBN Legal business name Fpg & Lcd Llc
DBA Doing business as Stoney River Rehab
Authorized official Conway, Sally Ann MS CCC-SLP, NHA
Entity Organization
Organization subpart 1 No
Enumeration date May 6th, 2013
Last updated Apr 9th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306281258 NPPES
Wisconsin MEDICAID 100030434

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