KNOLLVIEW SNF, LLC (NPI# 1366931909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366931909 |
| Entity Type | Organization |
| Organization Name | KNOLLVIEW SNF, LLC |
| Other Organization Name | SKLD MUSKEGON |
| Practice Address |
1061 W Hackley Ave Muskegon MI 49441 |
| Mailing Address |
620 Davis St Ste 200 Evanston IL 60201-4419 |
| Practice Telephone | 2317552255 |
| Mailing Telephone | 3125901055 |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-08-17 |
| Authorized Official Name | YAIR ZUCKERMAN (MANAGER) |
| Authorized Official Telephone | 7735174777 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Illuminate HC Muskegon | Doing Business As Name - Organization |
| SKLD Muskegon | Doing Business As Name - Organization |
| Street Address |
1061 W HACKLEY AVE |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932167129 | Patricia Benton | Occupational Therapist | 1061 W Hackley Ave, Muskegon, MI 49441-3059 | 2006-05-04 |
| 1528522604 | Aubrey Aubrey | Occupational Therapist | 1061 W Hackley Ave, Muskegon, MI 49441-3059 | 2019-01-23 |
| 1679514970 | Heartland-knollview Mi LLC | Skilled Nursing Facility | 1061 W Hackley Ave, Muskegon, MI 49441-3059 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692494 | Memphis Chardell Sandoval | Nurse Practitioner | 131 S. Seaway Dr., Muskegon, MI 49441 | 2020-09-01 |
| 1598222952 | Kimberlee K Erickson-worpel Ma,llp | Psychologist | 3611 Henry Street, Norton Shores, MI 49441 | 2019-02-21 |
| 1164921011 | Brittany Ann Bayne | Behavior Technician | 640 Seminole, Muskegon, MI 49441 | 2018-02-06 |
| 1497273403 | Rx Optical Laboratories, Inc. | Optometrist | 3445 Henry St, Norton Shores, MI 49441 | 2017-08-30 |
| 1801320072 | Gentle Souls Home Care, LLC | In Home Supportive Care | 2743 Henry Street Pmb #117, Muskegon, MI 49441 | 2017-04-14 |
| 1467814889 | Lyle Karp | Hearing Instrument Specialist | 3145 Henry St., Muskegon, MI 49441 | 2016-03-24 |
| 1649653817 | Jessica Marie Lambert | Dentist | 5978 Harvey St., Muskegon, MI 49441 | 2015-07-06 |
| 1114320595 | Mark Reider | Counselor | 3944 Grand Haven Rd Apt 204c, Norton Shores, MI 49441 | 2014-09-30 |
| 1679826002 | Kathleen M Dole | Social Worker | 800 E Ellis Rd Ste 222, Norton Shores, MI 49441 | 2012-10-23 |
| 1144523119 | Terri Lee Garza | Social Worker | 1095 Third St, Muskegon, MI 49441 | 2010-12-14 |
| Find all providers in zip 49441 | ||||
| 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 |
|---|---|---|---|---|
| 1689928392 | Michelle Renee Anderson | Skilled Nursing Facility | 1620 Sunview St, Muskegon, MI 49445-1122 | 2012-11-01 |
| 1659440816 | County of Muskegon | Skilled Nursing Facility | 1890 E Apple Ave, Muskegon, MI 49442-4245 | 2006-11-06 |
| 1932293073 | Trinity Continuing Care Services | Skilled Nursing Facility | 570 Harvey St, Muskegon, MI 49442-2308 | 2006-10-03 |
| 1215021316 | Trinity Continuing Care Services | Skilled Nursing Facility | 1380 E Sherman Blvd, Muskegon, MI 49444-1814 | 2006-10-03 |
| 1255339354 | Roosevelt Park Nursing Centre, Inc. | Skilled Nursing Facility | 1300 W Broadway Ave, Muskegon, MI 49441-3530 | 2005-07-12 |
| 1679514970 | Heartland-knollview Mi LLC | Skilled Nursing Facility | 1061 W Hackley Ave, Muskegon, MI 49441-3059 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538798731 | Windemere Park of Troy Operations LLC | Skilled Nursing Facility | 5990 N Adams Rd, Troy, MI 48098-2377 | 2020-04-08 |
| 1982235396 | Berg-lahser Snf, LLC | Skilled Nursing Facility | 21630 Hessel Ave # 1230, Detroit, MI 48219-1230 | 2020-02-04 |
| 1508497918 | Harmony Village Snf, LLC | Skilled Nursing Facility | 16588 Schaefer Hwy # 4249, Detroit, MI 48235-4249 | 2020-02-04 |
| 1336795244 | Ishpeming Nursing & Rehab Center, LLC | Skilled Nursing Facility | 435 Rd Pl, Ishpeming, MI 49849 | 2019-08-15 |
| 1669965299 | Wellbridge of Clarkston, LLC | Skilled Nursing Facility | 5655 Clarkston Road, Independence Township, MI 48348 | 2018-06-08 |
| 1104318112 | Wellbridge At Genesys Health Park, LLC | Skilled Nursing Facility | 3139 East Baldwin Road, Grand Blanc, MI 48439 | 2018-06-05 |
| 1427549955 | Mission Point of Detroit, LLC | Skilled Nursing Facility | 2102 Orleans, Detroit, MI 48207 | 2018-05-21 |
| 1912496324 | Regency At Independence Township, LLC | Skilled Nursing Facility | 6211 Stonewood Drive, Clarkston, MI 48346 | 2018-05-02 |
| 1972092344 | Regency At Grand Haven, LLC | Skilled Nursing Facility | 17049 Comstock St, Grand Haven, MI 49417-7903 | 2018-05-01 |
| 1093214173 | Sana Nasir Inc. | Skilled Nursing Facility | 13840 King Rd, Riverview, MI 48193 | 2018-02-05 |
| Find all providers with the same taxonomy | ||||
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| 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.