NPI age
11 years
Enumerated 2014-12-24
● Active Type 2 · Organization
Fmg West Lacrosse Avenue Idaho Llc
Fmg West Lacrosse Avenue Idaho Llc is 1 of 173 skilled nursing facility organizations in Idaho.
Primary specialty
Skilled Nursing Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Keating
Secretary Agent
Last NPPES update
2017-11-07
Source: monthly bulk 2026-05
How this organization compares
Across 173 active skilled nursing facility providers in Idaho.
NPI age
11 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2014 → 2026
2014-12Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
210 W Lacrosse Ave
Coeur D Alene, ID 838142403
Mailing address
5001 West Lemon Street, C/o Focus Management Group
Tampa, FL 336091103
Authorized official
David C. Keating
Secretary Agent
📞 4149088058
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Karin Austin Occupational Therapist NPI 1720286685
- Sharon Bartlett Occupational Therapy Assistant NPI 1396167193
- Matthew Borton, COTA Occupational Therapy Assistant NPI 1215361985
- Jimmy Burkhard Occupational Therapy Assistant NPI 1407261332
- Heather Carter Speech-Language Pathologist NPI 1831396241
- Fern Cleary Occupational Therapist NPI 1952507907
- Katherine Couture Speech-Language Pathologist NPI 1790983658
- Carrie Curry, OTR/L Occupational Therapist NPI 1619276813
- Cheryl Davee, PT Physical Therapist NPI 1407285174
- Kathleen Ellis Occupational Therapist NPI 1528265014
- Lee Freshour Speech-Language Pathologist NPI 1609207513
- Frances Geckle Physical Therapy Assistant NPI 1942638903
- Tara Goodwin Occupational Therapy Assistant NPI 1215134580
- Deborah Himebaugh Physical Therapist NPI 1932305976
- David Hylton Physical Therapy Assistant NPI 1619174323
- Kelli Karlgaard Physical Therapy Assistant NPI 1508062464
- Sheri Koch Occupational Therapist NPI 1790982023
- Tom Lamphier Physical Therapist NPI 1417154964
- Stephanie McClelland Physical Therapy Assistant NPI 1194921122
- Travis Pool Physical Therapy Assistant NPI 1609272012
Specialties
-
Skilled Nursing Facility Primary(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...
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.