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

Fmg Random Lane Michigan LLC

Organization Skilled Nursing Facility · NPI 1629452214

Fmg Random Lane Michigan LLC is a Skilled Nursing Facility in Gaylord, Michigan. 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.

See every abbreviation used in this directory →

Practice location Address checks out

508 Random Ln
Gaylord, MI 49735-9304
Phone: (989) 732-2508
Fax: (989) 731-5260
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 number1629452214
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Keating — Authorized Official · (414) 908-8058
NPI enumeratedJuly 14, 2015
Last updated in NPPESJuly 14, 2015
Mailing address508 Random Ln, Gaylord, MI 49735-9304

Other providers in Gaylord