Harold and Grace Upjohn Community Care Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

394090 Issued in MI

Legal business name

HAROLD AND GRACE UPJOHN COMMUNITY CARE CENTER

Practice address

2400 Portage St
Kalamazoo, MI 49001-3728

Phone

(269) 381-4290

Fax

(269) 343-5474

NPI assigned

Dec 5, 2005

Last updated

Jan 18, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

HERITAGE COMMUNITY OF KALAMAZOOAs reported in NPPES

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

Authorized official

Name

Mr. Dana White

Title

Administrator

Phone

(269) 381-4290

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124002910. Details of each certification follow.

• CCN 235050 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 235050

Legal name

HAROLD AND GRACE UPJOHN COMMUNITY CARE CENTER

Doing business as

HAROLD AND GRACE UPJOHN COMMUNITY CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Jan 1, 1967

Last certification

Mar 12, 2025

Beds

90 (87 certified)

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Enrollment address

2400 Portage St
Kalamazoo, MI 49001-3728

Nursing home name

HAROLD AND GRACE UPJOHN COMMUNITY CARE CENTER

Listed as

Harold and Grace Upjohn Community Care CenterCCN 235050 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jan 1, 1967

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8779.7 residents per day on average

Penalties (3 years)

3Fines totaling $31,186

Processed by Care Compare on Aug 1, 2026.

Locations

All disclosed owners & managing parties 5

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

Owners & managing parties with NPI records 1

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

• Benjamin D Smith, D.O.

  • Internal Medicine Physician
  • Battle Creek, MI
  • NPI 1144317728

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicoara Oprescu

  • Internal Medicine Physician
  • Kalamazoo, MI
  • NPI 1225146533
  NPD (past)
• Benjamin D Smith, D.O.

  • Internal Medicine Physician
  • Battle Creek, MI
  • NPI 1144317728
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Nicoara Oprescu

  • Internal Medicine Physician
  • Kalamazoo, MI
  • NPI 1225146533

  Nursing home

  Care Compare affiliation
• Benjamin D Smith, D.O.

  • Internal Medicine Physician
  • Battle Creek, MI
  • NPI 1144317728

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1124002910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 PORTAGE ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490013728",
            "telephone_number": "269-381-4290",
            "fax_number": "269-343-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 PORTAGE ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490013728",
            "telephone_number": "269-381-4290",
            "fax_number": "269-343-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAROLD AND GRACE UPJOHN COMMUNITY CARE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HERITAGE COMMUNITY OF KALAMAZOO",
        "enumeration_date": "2005-12-05",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "269-381-4290",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "394090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2081160",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF MI",
            "identifier": "09557",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Turk Harling, PA-C
• Sydney Harmon
• Kelsey Laray Harness
• Julie Ann Harning, PA-C
• Brady Richard Harnishfeger, PHD
• Daisia Harper
• Jessica Harper
• Anne Elizabeth Harrelson, DPT
• Amanda Harrington, NP-C
• Brian Harris

• Skilled Nursing Facility in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Skilled Nursing Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.