HACKLEY HOSPITAL (NPI# 1679516207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679516207 |
| Entity Type | Organization |
| Organization Name | HACKLEY HOSPITAL |
| Other Organization Name | PORTER HILLS HEALTH CENTER |
| Practice Address |
3600 Fulton St E Grand Rapids MI 49546-1322 |
| Mailing Address |
6401 Prairie St Suite 2300 Muskegon MI 49444 |
| Practice Telephone | 2317277944 |
| Mailing Telephone | 2317277944 |
| Mailing Fax Number | 2317247812 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARJORIE YOUNG (COO) |
| Authorized Official Telephone | 2317277951 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| PORTER HILLS HEALTH CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447602628 | Hackley Hospital | Clinic/Center | 5730 W Us Highway 10, Ludington, MI 49431-2452 | 2016-07-12 |
| 1689690125 | Hackley Hospital | Clinic/Center | 117 W Colby St, Whitehall, MI 49461-1014 | 2006-07-15 |
| 1972891877 | Hackley Hospital | Clinic/Center | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2011-07-13 |
| 1992988562 | Hackley Hospital | Clinic/Center | 6401 Prairie St, Suite 1200, Muskegon, MI 49444-7840 | 2007-12-06 |
| 1083760128 | Hackley Hospital | Clinic/Center | 1000 E Paris Ave Se, Ste #260, Grand Rapids, MI 49546-3691 | 2007-01-25 |
| 1831245992 | Hackley Hospital | Clinic/Center | 72 S State St, Shelby, MI 49455-1228 | 2007-01-25 |
| 1346256807 | Hackley Hospital | Clinic/Center | 6401 Prairie St, Suite 1200, Muskegon, MI 49444-7840 | 2006-08-01 |
| 1881610327 | Hackley Hospital | Clinic/Center | 1675 Leahy St, Suite 103, Muskegon, MI 49442-5500 | 2006-07-15 |
| 1497798029 | Hackley Hospital | Clinic/Center | 6401 Prairie St, Suite 1200, Muskegon, MI 49444-7840 | 2006-06-13 |
| 1013954478 | Hackley Hospital | Clinic/Center | 5969 Harvey St, Muskegon, MI 49444-8801 | 2006-06-02 |
| Street Address |
3600 FULTON ST E |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-1322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619441821 | Joyce K Arthur | Occupational Therapy Assistant | 3600 Fulton St E, Grand Rapids, MI 49546-1322 | 2019-01-22 |
| 1003389800 | Leah Gibson | Occupational Therapist | 3600 Fulton St E, Grand Rapids, MI 49546-1322 | 2019-01-04 |
| 1750857298 | Sarah Jeanne Rhodes | Physical Therapy Assistant | 3600 Fulton St E, Grand Rapids, MI 49546-1322 | 2018-10-23 |
| 1225503501 | Audra Lou Kuperus | Occupational Therapy Assistant | 3600 Fulton St E, Grand Rapids, MI 49546-1322 | 2018-10-12 |
| 1477028827 | Reanna L Dawson | Occupational Therapy Assistant | 3600 Fulton St E, Grand Rapids, MI 49546-1322 | 2018-10-11 |
| 1710452545 | Alex Lang | Speech-Language Pathologist | 3600 Fulton St E, Grand Rapids, MI 49546-1322 | 2018-10-08 |
| 1598230419 | Terri Baughman-stephenson | Occupational Therapy Assistant | 3600 Fulton St E, Grand Rapids, MI 49546-1322 | 2018-10-06 |
| 1851876064 | Matthew Grudzinskas | Physical Therapy Assistant | 3600 Fulton St E, Grand Rapids, MI 49546-1322 | 2018-10-03 |
| 1912482316 | Katlyn Elizabeth Ribant | Occupational Therapy Assistant | 3600 Fulton St E, Grand Rapids, MI 49546-1322 | 2018-10-02 |
| 1114477916 | Sarah Marie Edwards | Dietitian, Registered | 3600 Fulton St E, Grand Rapids, MI 49546-1322 | 2016-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548537103 | Rest Haven Homes Inc | Nursing Facility/Intermediate Care Facility | 1424 Union Ave Ne, Grand Rapids, MI 49505-5197 | 2011-11-28 |
| 1750365532 | Spectrum Health Continuing Care | Nursing Facility/Intermediate Care Facility | 4118 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 | 2005-12-05 |
| 1710989298 | State of Michigan Office of Financial Management | Nursing Facility/Intermediate Care Facility | 3000 Monroe Ave Ne, Grand Rapids, MI 49505-3397 | 2005-08-15 |
| 1891792735 | Heather Hills Limited Partnership | Nursing Facility/Intermediate Care Facility | 1157 Medical Park Dr Se, Grand Rapids, MI 49546-3699 | 2005-07-07 |
| 1093719718 | St. Ann's Home Inc. | Nursing Facility/Intermediate Care Facility | 2161 Leonard St Nw, Grand Rapids, MI 49504-3829 | 2005-06-10 |
| 1740264522 | Spectrum Health Kent Community Campus | Nursing Facility/Intermediate Care Facility | 750 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2005-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669906475 | Arinas Senior Care LLC | Nursing Facility/Intermediate Care Facility | 6861 N Clunbury Rd, West Bloomfield, MI 48322-4316 | 2017-04-18 |
| 1063963304 | Susan Traut | Nursing Facility/Intermediate Care Facility | 1 Dunlap Cir, Oxford, MI 48371-5206 | 2016-10-21 |
| 1700258225 | Danielle Shilling | Nursing Facility/Intermediate Care Facility | 1011 E Central Rd, Quincy, MI 49082-9725 | 2015-10-23 |
| 1952798076 | Rehabilitation Masters PC | Nursing Facility/Intermediate Care Facility | 20331 Mauer St, Saint Clair Shores, MI 48080-1773 | 2015-04-16 |
| 1588055701 | Nextstep Billing and Payroll | Nursing Facility/Intermediate Care Facility | 3201 University Dr, Suite 250, Auburn Hills, MI 48326-2394 | 2015-02-10 |
| 1679993489 | Partners In Parenting | Nursing Facility/Intermediate Care Facility | 8235 Freda St, Detroit, MI 48204-3127 | 2014-04-18 |
| 1528491438 | Altum Care Homes | Nursing Facility/Intermediate Care Facility | 23408 Plum Hollow St, Southfield, MI 48033-3275 | 2013-08-14 |
| 1801233465 | Wellness Group Home Care LLC | Nursing Facility/Intermediate Care Facility | 26300 Ford Rd Ste 421, Dearborn Heights, MI 48127-2854 | 2013-05-22 |
| 1649568726 | Aa Home Health Care, LLC | Nursing Facility/Intermediate Care Facility | 55 N Pond Dr Ste 1, Walled Lake, MI 48390-3080 | 2011-07-11 |
| 1518272970 | Michigan Visiting Care | Nursing Facility/Intermediate Care Facility | 90 Highland Dr, Jackson, MI 49201-9163 | 2010-08-10 |
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| City | GRAND RAPIDS |
| Zip Code | 49546 |
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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.