GRAND RAPIDS HEALTHCARE GROUP, LLC (NPI# 1174822886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174822886 |
| Entity Type | Organization |
| Organization Name | GRAND RAPIDS HEALTHCARE GROUP, LLC |
| Practice Address |
24201 3rd St Grand Rapids OH 43522-8702 |
| Mailing Address |
26691 Richmond Rd Bedford Heights OH 44146-1421 |
| Practice Telephone | 4198325195 |
| Practice Fax Number | 4198327020 |
| Mailing Telephone | 2162925706 |
| Mailing Fax Number | 2162922273 |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2011-07-01 |
| Authorized Official Name | WILLIAM I WEISBERG (VICE PRESIDENT) |
| Authorized Official Telephone | 2162925706 |
| Is Organization Subpart | Y |
| Parent Organization Name | SABER HEALTHCARE HOLDINGS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3147277 | 05 |
| Street Address |
24201 3RD ST |
| City | GRAND RAPIDS |
| State | OH |
| Zip Code | 43522-8702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033137005 | Audrich, Inc. | Skilled Nursing Facility | 24201 3rd St, Grand Rapids, OH 43522-9785 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932321064 | Ruben Daniel Doss | Chiropractor | 24308 Front Street, Grand Rapids, OH 43522 | 2007-05-02 |
| 1891866752 | Adnan Ahmed | Dentist | 24163 Front Street, Grand Rapids, OH 43522 | 2006-11-13 |
| 1043486293 | Dr. Adnan Ahmed Dds, Inc. | Dentist | 24163 Front St, Grand Rapids, OH 43522-9408 | 2008-05-07 |
| 1962887810 | Neha Bhardwaj | Dentist | 24163 Front St, Grand Rapids, OH 43522-9408 | 2015-07-21 |
| 1083728406 | Bonnie Gale Noblet | Pharmacist | 24187 Front St, Grand Rapids, OH 43522-9410 | 2006-08-19 |
| 1437269727 | Eric Alan Swope | Pharmacist | 24187 Front St, Grand Rapids, OH 43522-9410 | 2006-08-30 |
| 1114374402 | Northwest Wood Ambulance District | Ambulance | 20496 Kellogg Rd, Grand Rapids, OH 43522-9450 | 2016-05-17 |
| 1811503758 | Lynda Poupard | Technician | 12447 S River Rd, Grand Rapids, OH 43522-9604 | 2020-09-16 |
| 1568664761 | Debra Mitch | Pharmacist | 12461 Us Route 24, Grand Rapids, OH 43522-9604 | 2007-06-01 |
| 1982997607 | Julie A Vandevelde | Licensed Practical Nurse | 10745 Heller Rd, Grand Rapids, OH 43522-9610 | 2011-05-27 |
| Find all providers in zip 43522 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396975546 | Porter Hills Presbyterian Village, Inc. | Skilled Nursing Facility | 1029 E Paris Ave Se, Grand Rapids, MI 49546-3603 | 2009-07-22 |
| 1578739827 | St Ann's Home | Skilled Nursing Facility | 2161 Leonard Nw, Grand Rapids, MI 49504 | 2008-05-07 |
| 1922296730 | Lisa Ann Mervenne | Skilled Nursing Facility | 2520 Lake Michigan Dr Nw, Grand Rapids, MI 49504-4696 | 2007-10-05 |
| 1730256207 | Welcov Healthcare LLC | Skilled Nursing Facility | 2801 S Highway 169, Grand Rapids, MN 55744-9552 | 2006-11-29 |
| 1992892525 | Trinity Continuing Care Services | Skilled Nursing Facility | 1050 4 Mile Rd Nw, Grand Rapids, MI 49544-1505 | 2006-10-06 |
| 1568554566 | Covenant Living of The Great Lakes | Skilled Nursing Facility | 2520 Lake Michigan Drive Nw, Grand Rapids, MI 49504-4696 | 2006-09-28 |
| 1235141151 | Cascade Care Center, Inc | Skilled Nursing Facility | 1095 Medical Park Dr Se, Grand Rapids, MI 49546-3607 | 2006-08-12 |
| 1033137005 | Audrich, Inc. | Skilled Nursing Facility | 24201 3rd St, Grand Rapids, OH 43522-9785 | 2006-07-18 |
| 1205878998 | Heartland of Grand Rapids Mi LLC | Skilled Nursing Facility | 2320 E Beltline Ave Se, Grand Rapids, MI 49546-5906 | 2006-06-10 |
| 1184662793 | Itasca Nursing Home | Skilled Nursing Facility | 923 Hale Lake Pointe, Grand Rapids, MN 55744-9615 | 2006-06-04 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 43522 |
Please comment or provide details below to improve the information on GRAND RAPIDS HEALTHCARE GROUP, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.