Organization Active NPI

Grand Rapids Healthcare Group, LLC

  • Skilled Nursing Facility
  • Grand Rapids, OH
National Provider Identifier
1174822886
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
SABER HEALTHCARE HOLDINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3147277MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 CenterCCN 366181 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Sep 10, 1999
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3230.8 residents per day on average
Chain
Saber Healthcare Group126 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2072256Grand Rapids Healthcare Group LLC24201 W 3Rd St, Grand Rapids, OH 43522Certificate of waiverJan 27, 2028

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Saber Healthcare Holdings LLC Organization, Beachwood, OH LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 1, 2011
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020) Organization, Beachwood, OH 5% Or Greater Indirect Ownership Interest Jan 1, 2023 33%
Adp of the SNF Jan 1, 2023
Robert Schmidt Individual Adp of the SNF Oct 1, 2018
Jason Hohlefelder Individual Operational/Managerial ControlRegional VP of Operations Dec 19, 2022
Managing Control - Governing BodyRegional Vice President Dec 19, 2022
Adp of the SNF Dec 19, 2022
Gregory Nicoluzakis Individual Corporate OfficerSecretary Mar 1, 2019
Adp of the SNF Mar 1, 2019
SHG Management LLC Organization, Beachwood, OH LLC, For-profit Operational/Managerial Control Sep 1, 2019
Adp of the SNF Sep 1, 2019
Saber Governance LLC Organization, Beachwood, OH LLC, For-profit Operational/Managerial Control Sep 1, 2019
Adp of the SNF Sep 1, 2019
Saber Healthcare Group LLC Organization, Beachwood, OH LLC, Chain home office Adp of the SNF May 1, 2011
BNV Dynasty LLC Organization, Beachwood, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2023 33%
Benjamin N Volpe Individual Corporate OfficerVice President & Treasurer Mar 1, 2019
Corporate DirectorVice President & Treasurer Mar 1, 2019 50%
Adp of the SNF Mar 1, 2019
Seth Roberts Individual Operational/Managerial Control Nov 21, 2022
Adp of the SNF Nov 21, 2022
Citrin Cooperman Advisors LLC Organization, Woodmere, OH LLC Adp of the SNF May 1, 2011
Wiw Dynasty LLC Organization, Beachwood, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2023 67%
William I Weisberg Individual Corporate OfficerPresident Mar 1, 2019
Corporate DirectorPresident Mar 1, 2019 50%
Adp of the SNF May 1, 2011
SHH Holdings LLC Organization, Beachwood, OH LLC, Holding company, For-profit, Owned by another organization or individual 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 Organization, Beachwood, OH 5% Or Greater Indirect Ownership Interest Jan 1, 2023 67%
Adp of the SNF Jan 1, 2023
Grand Rapids Re Group, LLC Organization, Beachwood, OH 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.

View all 122

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.

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

Verify at the official NPI Registry.