Organization Active NPI

Zeeland Skilled Nursing Facility Inc

  • Skilled Nursing Facility
  • Zeeland, MI
National Provider Identifier
1124020466
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Feb 7, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1124020466MedicaidMI

Other names 1

  • SKLD Zeeland Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "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.

Verify at the official NPI Registry.