Grand Rapids SNF, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GRAND RAPIDS SNF, LLC

Doing business as

Illuminate HC Grand Rapids South
SKLD Grand Rapids South

Practice address

2320 E Beltline Ave SE
Grand Rapids, MI 49546

Phone

(616) 949-3000

NPI assigned

May 9, 2018

Last updated

Aug 17, 2018By the provider in NPPES

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 Grand Rapids South Doing business as
• SKLD Grand Rapids South Doing business as

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

CLIA laboratory certificates

Practitioners 1

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.

• Uchebike Nnagozie Nwankwo, MD

  • Adolescent Medicine (Internal Medicine) Physician
  • Lowell, MI
  • NPI 1962690073
  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": "1534464000000",
    "number": "1205325834",
    "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",
            "telephone_number": "312-590-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 E BELTLINE AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49546",
            "telephone_number": "616-949-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND RAPIDS SNF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-09",
        "last_updated": "2018-08-17",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Illuminate HC Grand Rapids South",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SKLD Grand Rapids South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grand Rapids Plastic Surgery PLC (Centre for Plastic Surgery)
• Grand Rapids Psychological Testing LLC
• Grand Rapids Psychology, PLLC
• Grand Rapids Radiation Oncology PC
• Grand Rapids RX LLC
• Grand Rapids Somatic Therapy LLC
• Grand Rapids Surgical Suites LLC
• Grand Rapids Therapy Group Inc (GR Therapy Group)
• Grand Rapids Therapy PLLC
• Grand Rapids Thoracic Surgery, PLLC

• Skilled Nursing Facility in Grand Rapids, MI
• Providers in Grand Rapids, 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 Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.