Organization Active NPI

Christian Rest Home Association

  • Skilled Nursing Facility
  • Grand Rapids, MI
National Provider Identifier
1073506473
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
414020 Issued in MI
Legal business name
CHRISTIAN REST HOME ASSOCIATION
Doing business as
CHRISTIAN REST HOME
Practice address
1000 Edison Ave NW
Grand Rapids, MI 49504-3918
Phone
(616) 453-2475
Fax
(616) 453-2645
NPI assigned
Aug 31, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. James Horjus
Title
Chief Financial Officer
Phone
(616) 453-2475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 414020 MI Primary

Addresses

Primary practice location

1000 Edison Ave NW
Grand Rapids, MI 49504-3918

Mailing address

1000 Edison Ave NW
Grand Rapids, MI 49504-3918
Phone (616) 453-2475

Other identifiers 1

IdentifierTypeStateIssuer
60/2151793MedicaidMI

Other names 1

  • CHRISTIAN REST HOME Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080710000059 MI Part A Provider - Skilled Nursing Facility 1557433455 Practice locations: Grand Rapids, MI

Skilled nursing facility certification: CCN 235339

Legal name
CHRISTIAN REST HOME ASSOCIATION
Doing business as
EDISON CHRISTIAN LIFE SERVICES, EDISON CHRISTIAN HEALTH CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 1, 1977
Last certification
Sep 12, 2024
Beds
136
Ownership / control type
Other Nonprofit
Organization structure
CorporationNon-profit
Enrollment address
1000 Edison Ave NW
Grand Rapids, MI 49504-3918
Nursing home name
EDISON CHRISTIAN HEALTH CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Edison Christian Health CenterCCN 235339 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
Sep 1, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
13692.2 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0651040Christian Rest Home Assoc1000 Edison Ave NW, Grand Rapids, MI 49504Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Christian Rest Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ronald Duemler Individual Contracted Managing EmployeeMD; Jan 1, 2016
Mark D Bauer Individual Corporate DirectorBoard Member Sep 14, 2023 8.33%
Linda S McQuade Individual Corporate DirectorBoard Member Sep 12, 2024
Cora J Beute Individual Corporate DirectorBoard Member Sep 8, 2022 8.33%
Michael V Billingsley Individual Corporate DirectorBoard Member Sep 8, 2022 8.33%
Kristin Mast Individual Corporate DirectorBoard Member Sep 9, 2021 8.33%
Sharon Thenn Individual Corporate DirectorBoard Member Sep 8, 2022 8.33%
James M Horjus Individual W-2 Managing EmployeeBusiness Manager Sep 1, 1992 5%
Yvonne Engelsma Individual Corporate DirectorBoard Member Sep 10, 2020 8.33%
Karen S Vansweden Individual Corporate DirectorBoard Member Sep 12, 2019 8.33%
Renz Verbeek Individual Corporate DirectorBoard Vice President Sep 10, 2020 8.33%
Martin J Faasse Individual Corporate DirectorBoard Member Sep 9, 2021 8.33%
Esther Heerema Individual W-2 Managing EmployeeAd; Mar 16, 2024
Alida Rittner Individual Corporate DirectorBoard Member Sep 12, 2024
Robert D Myers Individual Corporate DirectorBoard Member Sep 9, 2021 8.33%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1073506473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 EDISON AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495043918",
            "telephone_number": "616-453-2475",
            "fax_number": "616-453-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EDISON AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495043918",
            "telephone_number": "616-453-2475",
            "fax_number": "616-453-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN REST HOME ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "HORJUS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "616-453-2475",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "414020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60/2151793",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHRISTIAN REST HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.