Porter Hills Presbyterian Village, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PORTER HILLS PRESBYTERIAN VILLAGE, INC.

Doing business as

Marywood Health Center

Practice address

111 Lakeside Dr NE
Grand Rapids, MI 49503-3811

Phone

(616) 456-1993

Fax

(616) 454-6105

NPI assigned

Mar 27, 2013

Organization subpart

No

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

Addresses

Other names 1

• Marywood Health Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364860800000",
    "number": "1245572346",
    "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": "PORTER HILLS PRESBYTERIAN VILLAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-04-02",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marywood Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aaron L Poquette, PA
• Nabeel Porbandarwala, M.D.
• Angelo J Porcari, MD
• Mellany J Porraz, LMSW
• Porter Hills Home Health West
• Porter Hills Presbyterian Village, Inc. (Porter Hills Health Center)
• Porter Hills Presbyterian Village, Inc. (Porter Hills)
• Porter Hills Presbyterian Village, Inc.
• Porter Hills Rehabilitation, L.L.C.
• Porter Hills Retirement Communities & Services (Sunshine Senior Care)

• 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 Apr 2, 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.

Verify at the official NPI Registry.