FMG NORTHEAST WEIDLER STREET OREGON LLC
NPI 1710375878
Skilled Nursing Facility in Portland, OR

Active since December 24, 2014
11325 NE WEIDLER ST, PORTLAND, OR 97220(503) 253-1181(503) 253-1871 Get Directions Write a Review

NPPES record last updated: November 7, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Fmg Northeast Weidler Street Oregon Llc NPPES

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

FMG NORTHEAST WEIDLER STREET OREGON LLC (NPI 1710375878) is a healthcare organization registered as a skilled nursing facility in Portland, Oregon and active in the NPI registry since December 2014. The organization lists David C. Keating, Agent, as its authorized official.

NPPES Registry Identity

NPI1710375878
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameFMG NORTHEAST WEIDLER STREET OREGON LLC
Location Address11325 NE WEIDLER STPortland, OR 97220-1950
Mailing Address5001 West Lemon Street, C/o Focus Management GroupTampa, FL 33609-1103 · (813) 281-0062 · Fax (813) 281-0063
Fax(503) 253-1871
Organization SubpartNo
Authorized OfficialDavid C. KeatingAgent · (414) 908-8058
Enumeration DateDecember 24, 2014
Last NPPES UpdateNovember 7, 2017
NPI 1710375878 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.

11325 NE WEIDLER ST, Portland, OR 97220

Other Identifiers 1

Medicare OSCAR/certification385219OR

Other Providers at the Same Location NPPES 17

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

Physical Therapy Assistant
11325 NE WEIDLER ST
PORTLAND, OR 97220
Physical Therapist
11325 NE WEIDLER ST
PORTLAND, OR 97220
Physical Therapy Assistant
11325 NE WEIDLER ST
PORTLAND, OR 97220
Physical Therapist
11325 NE WEIDLER ST
PORTLAND, OR 97220
Occupational Therapist
11325 NE WEIDLER ST
PORTLAND, OR 97220
Occupational Therapist
11325 NE WEIDLER ST
PORTLAND, OR 97220
Residential Treatment Facility, Physical Disabilities
11325 NE WEIDLER ST
PORTLAND, OR 97220
Occupational Therapy Assistant
11325 NE WEIDLER ST
PORTLAND, OR 97220

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 Northeast Weidler Street Oregon LLC's NPI number?

The NPI number for Fmg Northeast Weidler Street Oregon LLC is 1710375878. It was assigned to this organization in the NPPES registry on December 24, 2014.

Where is Fmg Northeast Weidler Street Oregon LLC located?

Fmg Northeast Weidler Street Oregon LLC is located at 11325 NE Weidler St, Portland, OR 97220. The listed phone number is (503) 253-1181.

What is Fmg Northeast Weidler Street Oregon 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 Northeast Weidler Street Oregon LLC was last updated on November 7, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.