Active NPI
Grand Rapids Healthcare Group, LLC
- Skilled Nursing Facility
- Grand Rapids, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- GRAND RAPIDS HEALTHCARE GROUP, LLC
- Practice address
- 24201 3Rd St
Grand Rapids, OH 43522-8702 - Phone
- (419) 832-5195
- Fax
- (419) 832-7020
- NPI assigned
- Mar 21, 2011
- Last updated
- Jan 11, 2022
- Organization subpart
- Yes
- Parent organization
- SABER HEALTHCARE HOLDINGS, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William I Weisberg
- Title
- President
- Phone
- (216) 292-5706
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
24201 3Rd St
Grand Rapids, OH 43522-8702
Mailing address
23700 Commerce Park
Beachwood, OH 44122-5827
Phone (216) 292-5706
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3147277 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110428000471 | OH | Part A Provider - Skilled Nursing Facility | 5294910675 | Practice locations: Grand Rapids, OH |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1174822886. Details of each certification follow.
Skilled nursing facility certification: CCN 366181
- Legal name
- GRAND RAPIDS HEALTHCARE GROUP, LLC
- Doing business as
- GRAND RAPIDS CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 10, 1999
- Last certification
- Apr 12, 2024
- Beds
- 32
- Ownership / control type
- Corporation
- Multi-facility organization
- SABER HEALTH
- Organization structure
- LLC
- Enrollment address
- 24201 W 3Rd St
Grand Rapids, OH 43522-8702 - Nursing home name
- GRAND RAPIDS CARE CENTER
- Affiliated entity
- SABER HEALTHCARE GROUP
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Grand Rapids Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Sep 10, 1999
- Medicare certification status
- Active
- Certified beds
- 32
- Chain
- Saber Healthcare Group
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2072256 | Grand Rapids Healthcare Group LLC | Certificate of waiver | Jan 27, 2028 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 17
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Saber Healthcare Holdings LLC | 5% Or Greater Direct Ownership Interest | May 1, 2011 | |
| Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020) | 5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 33% |
| Adp of the SNF | Jan 1, 2023 | ||
| Robert Schmidt | Adp of the SNF | Oct 1, 2018 | |
| Jason Hohlefelder | Operational/Managerial Control | Dec 19, 2022 | |
| Managing Control - Governing Body | Dec 19, 2022 | ||
| Adp of the SNF | Dec 19, 2022 | ||
| Gregory Nicoluzakis | Corporate Officer | Mar 1, 2019 | |
| Adp of the SNF | Mar 1, 2019 | ||
| SHG Management LLC | Operational/Managerial Control | Sep 1, 2019 | |
| Adp of the SNF | Sep 1, 2019 | ||
| Saber Governance LLC | Operational/Managerial Control | Sep 1, 2019 | |
| Adp of the SNF | Sep 1, 2019 | ||
| Saber Healthcare Group LLC | Adp of the SNF | May 1, 2011 | |
| BNV Dynasty LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 33% |
| Benjamin N Volpe | Corporate Officer | Mar 1, 2019 | |
| Corporate Director | Mar 1, 2019 | 50% | |
| Adp of the SNF | Mar 1, 2019 | ||
| Seth Roberts | Operational/Managerial Control | Nov 21, 2022 | |
| Adp of the SNF | Nov 21, 2022 | ||
| Citrin Cooperman Advisors LLC | Adp of the SNF | May 1, 2011 | |
| Wiw Dynasty LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 67% |
| William I Weisberg | Corporate Officer | Mar 1, 2019 | |
| Corporate Director | Mar 1, 2019 | 50% | |
| Adp of the SNF | May 1, 2011 | ||
| SHH Holdings LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2019 | 100% |
| Indirect Ownership Interest | Mar 1, 2019 | ||
| Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020 | 5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 67% |
| Adp of the SNF | Jan 1, 2023 | ||
| Grand Rapids Re Group, LLC | Adp of the SNF | Jun 1, 2018 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Facilities with the same owner 122
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Astoria Health & Rehab Center
- Skilled Nursing Facility
- Germantown, OH
- NPI 1346513090
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Governance LLC, Saber Healthcare Holdings LLC, SHG Management LLC, Wiw Dynasty LLC
-
- Skilled Nursing Facility
- Cuyahoga Falls, OH
- NPI 1568716652
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Governance LLC, Saber Healthcare Holdings LLC, SHG Management LLC, SHH Holdings LLC, WI
-
- Skilled Nursing Facility
- Bellevue, OH
- NPI 1730488685
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Governance LLC, Saber Healthcare Holdings LLC, SHG Management LLC, Wiw Dynasty LLC
-
dba Oaks of Brecksville
- Skilled Nursing Facility
- Brecksville, OH
- NPI 1043518038
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Governance LLC, Saber Healthcare Holdings LLC, SHG Management LLC, Wiw Dynasty LLC
-
- Skilled Nursing Facility
- Centerburg, OH
- NPI 1033410295
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, SHG Management LLC, Wiw Dynasty LLC
-
dba Cortland Nursing Home
- Skilled Nursing Facility
- Cortland, OH
- NPI 1871641936
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Governance LLC, Saber Healthcare Holdings LLC, SHH Holdings LLC, Wiw Dynasty LLC
-
dba Carillon Health & Rehab Center
- Skilled Nursing Facility
- Dayton, OH
- NPI 1720478472
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Governance LLC, Saber Healthcare Holdings LLC, SHG Management LLC, Wiw Dynasty LLC
-
- Skilled Nursing Facility
- North Royalton, OH
- NPI 1124206735
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, SHG Management LLC, Wiw Dynasty LLC
-
dba Eagle Creek Nursing Center
- Skilled Nursing Facility
- West Union, OH
- NPI 1558392100
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Governance LLC, Saber Healthcare Holdings LLC, SHG Management LLC, Wiw Dynasty LLC
-
dba Highland Pointe Health & Rehabilitation Center
- Skilled Nursing Facility
- Highland Heights, OH
- NPI 1073996658
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Governance LLC, Saber Healthcare Holdings LLC, SHG Management LLC, Wiw Dynasty LLC
-
dba Grand River Health & Rehab Center
- Skilled Nursing Facility
- Painesville, OH
- NPI 1710245774
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Governance LLC, Saber Healthcare Holdings LLC, SHG Management LLC, Wiw Dynasty LLC
-
dba Homestead II
- Skilled Nursing Facility
- Painesville, OH
- NPI 1144588104
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Governance LLC, Saber Healthcare Holdings LLC, SHG Management LLC, Wiw Dynasty LLC
Practitioners & affiliated clinicians
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.
-
- Family Medicine Physician
- Maumee, OH
- NPI 1922147818
-
- Family Medicine Physician
- Rossford, OH
- NPI 1215913546
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641859200000",
"number": "1174822886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23700 COMMERCE PARK",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225827",
"telephone_number": "216-292-5706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24201 3RD ST",
"city": "GRAND RAPIDS",
"state": "OH",
"postal_code": "435228702",
"telephone_number": "419-832-5195",
"fax_number": "419-832-7020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRAND RAPIDS HEALTHCARE GROUP, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SABER HEALTHCARE HOLDINGS, LLC",
"enumeration_date": "2011-03-21",
"last_updated": "2022-01-11",
"certification_date": "2022-01-11",
"status": "A",
"authorized_official_last_name": "WEISBERG",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "216-292-5706"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3147277",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.