PORTER HILLS REHABILITATION, L.L.C. (NPI# 1912076142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912076142 |
| Entity Type | Organization |
| Organization Name | PORTER HILLS REHABILITATION, L.L.C. |
| Other Organization Name | PORTER HILLS REHABILITATION, L.L.C. |
| Practice Address |
3600 Fulton St E Ste. R Grand Rapids MI 49546-1322 |
| Practice Telephone | 6169425975 |
| Practice Fax Number | 6169741983 |
| Mailing Telephone | 6169425975 |
| Mailing Fax Number | 6169741983 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2012-10-23 |
| Authorized Official Name | MRS. MICHELLE A. CHAPIE (REHAB MANAGER, CORF ADMINISTRATOR) |
| Authorized Official Telephone | 6169425965 |
| Authorized Official Credential | MSA, OTR |
| Is Organization Subpart | Y |
| Parent Organization Name | PORTER HILLS PRESBYTERIAN VILLIAGE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Porter Hills Rehabilitation, L.L.C. | Doing Business As Name - Organization |
| Street Address |
3600 FULTON ST E STE. R |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-1322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679516207 | Hackley Hospital | Nursing Facility/Intermediate Care Facility | 3600 Fulton St E, Grand Rapids, MI 49546-1322 | 2006-06-13 |
| 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 |
| 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 | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
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|---|---|---|---|---|
| 1649733148 | Harbor Hall, Inc. | Clinic/Center | 302 Orchard Ridge Drive, Petoskey, MI 49770 | 2019-04-11 |
| 1356823116 | A1 Occupational Therapy LLC | Clinic/Center | 23265 Northwestern Hwy Ste 200, Southfield, MI 48075-7707 | 2018-08-29 |
| 1316433329 | 4 Ur Recovery Therapy, LLC | Clinic/Center | 19201 Warren St, Detroit, MI 48228 | 2018-07-03 |
| 1154817088 | New Horizon Chiropractic Pllc | Clinic/Center | 15565 Northland Dr W Ste 308, Southfield, MI 48075-5312 | 2018-07-03 |
| 1174047286 | 411 Help LLC | Clinic/Center | 23265 Northwestern Hwy Ste 300, Southfield, MI 48075-7707 | 2017-07-31 |
| 1164951141 | Alpha Physical Therapy & Rehab LLC | Clinic/Center | 2127 15 Mile Rd, Sterling Heights, MI 48310-4835 | 2017-06-05 |
| 1801333083 | Delta Physical Therapy and Rehab LLC | Clinic/Center | 2033 Whitefield St, Dearborn Heights, MI 48127-3422 | 2017-01-25 |
| 1942747423 | My Tactical Advantage LLC | Clinic/Center | 13305 W 7 Mile Rd, Detroit, MI 48235-1340 | 2017-01-23 |
| 1891230231 | Arinas Rehab | Clinic/Center | 22340 Maplewood Dr, Southfield, MI 48033-3658 | 2016-12-20 |
| 1538544911 | Red Phoenix Stroke & Rehabilitation Inc. | Clinic/Center | 481 Village Oaks Ct, Ann Arbor, MI 48103-6129 | 2015-07-27 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on PORTER HILLS REHABILITATION, L.L.C..
| 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.