Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fmg Davis Street SNF Wisconsin LLC

Organization Skilled Nursing Facility · NPI 1104215060

Fmg Davis Street SNF Wisconsin LLC is a Skilled Nursing Facility in Hammond, Wisconsin. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

425 Davis St
Hammond, WI 54015-9615
Phone: (715) 796-2218
Fax: (715) 796-5286
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1104215060
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Keating — Authorized Official · (414) 908-8058
Other names American Heritage
NPI enumeratedJanuary 15, 2015
Last updated in NPPESJanuary 16, 2015
Mailing address425 Davis St, Hammond, WI 54015-9615

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