Active NPI
Zeeland Skilled Nursing Facility Inc
- Skilled Nursing Facility
- Zeeland, MI
National Provider Identifier
1124020466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- ZEELAND SKILLED NURSING FACILITY INC
- Practice address
- 285 N State St
Zeeland, MI 49464-1297 - Phone
- (616) 772-4641
- Fax
- (616) 772-4641
- NPI assigned
- Jun 1, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kristine R Kirk
- Title
- Delegated Official
- Phone
- (417) 846-3521
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
285 N State St
Zeeland, MI 49464-1297
Mailing address
285 N State St
Zeeland, MI 49464-1297
Phone (616) 772-4641
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124020466 | Medicaid | MI |
Other names 1
- SKLD Zeeland
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Kalamazoo, MI
- NPI 1174509855
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1134149727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738886400000",
"number": "1124020466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 N STATE ST",
"city": "ZEELAND",
"state": "MI",
"postal_code": "494641297",
"telephone_number": "616-772-4641",
"fax_number": "616-772-4641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 N STATE ST",
"city": "ZEELAND",
"state": "MI",
"postal_code": "494641297",
"telephone_number": "616-772-4641",
"fax_number": "616-772-4641"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZEELAND SKILLED NURSING FACILITY INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-01",
"last_updated": "2025-02-07",
"certification_date": "2025-02-07",
"status": "A",
"authorized_official_last_name": "KIRK",
"authorized_official_first_name": "KRISTINE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "DELEGATED OFFICIAL",
"authorized_official_telephone_number": "417-846-3521",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1124020466",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SKLD Zeeland",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Zeeland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.