FMG CAPITOL MALL DRIVE SOUTHWEST WASHINGTON LLC
NPI 1215335591
Skilled Nursing Facility in Olympia, WA

Active since December 18, 2014
4001 CAPITAL MALL DR SW, OLYMPIA, WA 98502(360) 754-9792(360) 754-2455 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Nov 7, 2017 (2 updates tracked since 2017).

About Fmg Capitol Mall Drive Southwest Washington Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FMG CAPITOL MALL DRIVE SOUTHWEST WASHINGTON LLC (NPI 1215335591) is a healthcare organization registered as a skilled nursing facility in Olympia, Washington and active in the NPI registry since December 2014. The organization lists David C. Keating, Agent, as its authorized official.

NPPES Registry Identity

NPI1215335591
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameFMG CAPITOL MALL DRIVE SOUTHWEST WASHINGTON LLC
Location Address4001 CAPITAL MALL DR SWOlympia, WA 98502-8657
Mailing Address5001 West Lemon Street, C/o Focus Management GroupTampa, FL 33609-1103 · (813) 281-0062 · Fax (813) 281-0063
Fax(360) 754-2455
Organization SubpartNo
Authorized OfficialDavid C. KeatingAgent · (414) 908-8058
Enumeration DateDecember 18, 2014
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1215335591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
4001 CAPITAL MALL DR SW, Olympia, WA 98502

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Medicine & Rehabilitation
4001 CAPITAL MALL DR SW
OLYMPIA, WA 98502
Speech-Language Pathologist
4001 CAPITAL MALL DR SW
OLYMPIA, WA 98502
Occupational Therapy Assistant
4001 CAPITAL MALL DR SW
OLYMPIA, WA 98502
Skilled Nursing Facility
4001 CAPITAL MALL DR SW
OLYMPIA, WA 98502
Physical Therapy Assistant
4001 CAPITAL MALL DR SW
OLYMPIA, WA 98502
Occupational Therapist
4001 CAPITAL MALL DR SW
OLYMPIA, WA 98502
Skilled Nursing Facility
4001 CAPITAL MALL DR SW
OLYMPIA, WA 98502
Occupational Therapist
4001 CAPITAL MALL DR SW
OLYMPIA, WA 98502

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fmg Capitol Mall Drive Southwest Washington LLC's NPI number?

The NPI number for Fmg Capitol Mall Drive Southwest Washington LLC is 1215335591. It was assigned to this organization in the NPPES registry on December 18, 2014.

Where is Fmg Capitol Mall Drive Southwest Washington LLC located?

Fmg Capitol Mall Drive Southwest Washington LLC is located at 4001 Capital Mall Dr SW, Olympia, WA 98502. The listed phone number is (360) 754-9792.

What is Fmg Capitol Mall Drive Southwest Washington LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Fmg Capitol Mall Drive Southwest Washington LLC was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.