Active NPI
Marywood Health Corporation
- Skilled Nursing Facility
- Grand Rapids, MI
National Provider Identifier
1235479767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- MARYWOOD HEALTH CORPORATION
- Practice address
- 111 Lakeside Dr NE
Grand Rapids, MI 49503-3811 - Phone
- (616) 456-1993
- Fax
- (616) 454-6105
- NPI assigned
- Feb 20, 2013
- Last updated
- Mar 27, 2013
- 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
- Ms. Lisa McMichael
- Title
- Nursing Home Administrator
- Phone
- (616) 490-2942
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
111 Lakeside Dr NE
Grand Rapids, MI 49503-3811
Mailing address
4450 Cascade Rd SE
Ste 200
Grand Rapids, MI 49546-8330
Phone (616) 949-4975
Other names 1
- Marywood Health Center
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Porter Hills
- Skilled Nursing Facility
- Grand Rapids, MI
- NPI 1396975546
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364342400000",
"number": "1235479767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4450 CASCADE RD SE",
"address_2": "STE 200",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495468330",
"telephone_number": "616-949-4975",
"fax_number": "616-954-1795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 LAKESIDE DR NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495033811",
"telephone_number": "616-456-1993",
"fax_number": "616-454-6105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARYWOOD HEALTH CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-20",
"last_updated": "2013-03-27",
"status": "A",
"authorized_official_last_name": "MCMICHAEL",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "NURSING HOME ADMINISTRATOR",
"authorized_official_telephone_number": "616-490-2942",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Marywood Health Center",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Grand Rapids, MI
- Mary Free Bed Rehabilitation Hosptial
- Mary Free Bed Rehabilitation, LLC
- Mary Free Bed Rehabiltation Hospital (Mary Free Bed Rehabilitation Hospital)
- Mary Free Bed Sub-Acute Rehabilitation
- Mary Laframboise
- Marywood Home Health
- Melody Marzjarani, DO, MPH
- Alexandra Isabel Mas
- Laura Mascote, PA
- Mariah Masell
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.