Whitehall SNF, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WHITEHALL SNF, LLC

Doing business as

Illuminate HC Whitehall
SKLD Whitehall

Practice address

916 E Lewis St
Whitehall, MI 49461-1699

Phone

(231) 894-4056

NPI assigned

May 9, 2018

Organization subpart

No

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

Authorized official

Name

Yair Zuckerman

Title

Manager

Phone

(773) 517-4777

Specialties & licenses 1

Addresses

Other names 2

• Illuminate HC Whitehall Doing business as
• SKLD Whitehall Doing business as

Locations

Practitioners 2

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

• Carrie S Sandborn, D.O.

  • Family Medicine Physician
  • East Lansing, MI
  • NPI 1356540116
  NPD (past)
• Krystyna Barbara Solarewicz, M.D.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1134149727
  NPD (past)

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1154810794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 DAVIS ST STE 200",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 E LEWIS ST",
            "city": "WHITEHALL",
            "state": "MI",
            "postal_code": "494611699",
            "telephone_number": "231-894-4056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITEHALL SNF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-09",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "ZUCKERMAN",
        "authorized_official_first_name": "YAIR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-517-4777"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Illuminate HC Whitehall",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SKLD Whitehall",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Waller, NP-C
• Lindsay Anne Ware
• Karen Kay Welter
• White Lake Assisted Living
• White Lake Chiropractic Centre Inc
• Torry Wild
• Janet Marie Williams, LLP, LPC
• Patricia A Wood, LMSW
• Matthew Conrad Zahl, PT
• Robert Zuidema Jr.

• Skilled Nursing Facility in Whitehall, MI
• Providers in Whitehall, 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 Jun 16, 2018; 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.