GREENVIEW SNF, LLC (NPI# 1740779370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740779370 |
| Entity Type | Organization |
| Organization Name | GREENVIEW SNF, LLC |
| Other Organization Name | ILLUMINATE HC GRAND RAPIDS NORTH |
| Practice Address |
1700 Leonard St Ne Grand Rapids MI 49505 |
| Mailing Address |
620 Davis St Ste 200 Evanston IL 60201-4419 |
| Practice Telephone | 6164567243 |
| 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 Grand Rapids North | Doing Business As Name - Organization |
| SKLD Grand Rapids North | Doing Business As Name - Organization |
| Street Address |
1700 LEONARD ST NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225078520 | Jamie S Allen | Nurse Practitioner | 1700 Leonard St Ne, Grand Rapids, MI 49505-5636 | 2006-06-07 |
| 1033768122 | Kimberly Ranee Withers | Occupational Therapy Assistant | 1700 Leonard St Ne, Grand Rapids, MI 49505-5636 | 2019-09-10 |
| 1215408810 | Katherine S Fuller | Physical Therapist | 1700 Leonard St Ne, Grand Rapids, MI 49505-5636 | 2018-12-09 |
| 1518317445 | Jamie Lynn Seppamaki-mccabe | Physical Therapist | 1700 Leonard St Ne, Grand Rapids, MI 49505-5636 | 2016-06-22 |
| 1568404259 | Heartland-greenview Mi LLC | Skilled Nursing Facility | 1700 Leonard St Ne, Grand Rapids, MI 49505-5636 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285276097 | Molly Beth Kerkstra | Home Health Aide | 1115 Ball Ave Nw, Grand Rapids, MI 49505 | 2019-10-14 |
| 1154849677 | Roshawn Nichol Whitley | Technician | 891 Maryland Ave, Grand Rapids, MI 49505 | 2017-09-05 |
| 1447778923 | Kelly Benzin-brinks | Social Worker | 1965 3 Mile Rd Ne, Grand Rapids, MI 49505 | 2017-09-05 |
| 1033560404 | Taylor Nolan Boyd | Speech-Language Pathologist | 400 Ann St Ne Ste 106a, Grand Rapids, MI 49505 | 2016-06-28 |
| 1023465002 | Calvin Athy | Counselor | 1101 Ballave Ne, Grand Rapids, MI 49505 | 2016-05-19 |
| 1821456682 | Kelly Van Huisen | Counselor | 1115 Ball Avenue Ne, Building B, Grand Rapids, MI 49505 | 2016-02-08 |
| 1780051102 | Mark Squeteri | Social Worker | 1345 Monroe Ave Nw Ste 234, Grand Rapids, MI 49505 | 2015-09-02 |
| 1346637337 | Shelby Fullington | Social Worker | 1011 Ball Ave Ne, Grand Rapids, MI 49505 | 2015-04-17 |
| 1457745325 | Lester Anderson II | Social Worker | 1115 Ball Ave, Grand Rapids, MI 49505 | 2015-03-27 |
| 1730570151 | Nicole Brown | Counselor | 1345 Monroe Ave Nw Ste 204, Grand Rapids, MI 49505 | 2015-02-06 |
| Find all providers in zip 49505 | ||||
| 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 | 49505 |
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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.