Active NPI
Heartland of Grand Rapids Mi LLC
Doing business as Heartland Health Care Center - Grand Rapids
- Skilled Nursing Facility
- Grand Rapids, MI
National Provider Identifier
1205878998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 414290
- Legal business name
- HEARTLAND OF GRAND RAPIDS MI LLC
- Doing business as
- Heartland Health Care Center - Grand Rapids
- Practice address
- 2320 E Beltline Ave SE
Grand Rapids, MI 49546-5906 - Phone
- (616) 949-3000
- Fax
- (616) 975-2180
- NPI assigned
- Jun 10, 2006
- Last updated
- Jun 1, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Martin D Allen
- Title
- Director
- Phone
- (419) 252-5734
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 414290 | MI | Primary |
Addresses
Primary practice location
2320 E Beltline Ave SE
Grand Rapids, MI 49546-5906
Mailing address
333 N Summit St
Toledo, OH 43604-2615
Phone (419) 252-5500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 605267504 | Medicaid | MI |
Other names 1
- Heartland Health Care Center - Grand Rapids
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1496275200000",
"number": "1205878998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 N SUMMIT ST",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436042615",
"telephone_number": "419-252-5500",
"fax_number": "877-385-9446"
},
{
"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": "495465906",
"telephone_number": "616-949-3000",
"fax_number": "616-975-2180"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTLAND OF GRAND RAPIDS MI LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-10",
"last_updated": "2017-06-01",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "MARTIN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "419-252-5734",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MI",
"license": "414290",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "605267504",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Heartland Health Care Center - Grand Rapids",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Grand Rapids, MI
- Heart Walk Counseling, LLC
- Natasha Heart, MD
- Heartland Home Care LLC (ProMedica Home Health (Grand Rapids))
- Heartland Hospice Services LLC (ProMedica Hospice (Fremont))
- Heartland Hospice Services, LLC (ProMedica Hospice (Grand Rapids))
- Heartland-Greenview Mi LLC (Heartland Health Care Center - Greenview)
- Heartstone Guidance Center LLC
- Dawn Heartwell, LMSW
- Heartwood Counseling LLC
- Heartwork Counseling & Wellness LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.