Organization Active NPI

Healthbridge LLC

  • Skilled Nursing Facility
  • Wyoming, MI
National Provider Identifier
1326565862
Registry record updated Aug 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HEALTHBRIDGE LLC
Practice address
2060 Health Dr SW
Wyoming, MI 49519-9687
Phone
(616) 333-1200
NPI assigned
Aug 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mark A Piersma
Title
Manager
Phone
(616) 975-5205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2060 Health Dr SW
Wyoming, MI 49519-9687

Mailing address

4630 Plainfield Ave NE
Grand Rapids, MI 49525-1643
Phone (616) 975-5398

Other names 1

  • HealthBridge Post-Acute Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171027000602 MI Part A Provider - Skilled Nursing Facility 8921374463 Practice locations: Wyoming, MI

Skilled nursing facility certification: CCN 235723

Legal name
HEALTHBRIDGE, LLC
Doing business as
HARBOR POST ACUTE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 1, 2018
Last certification
Oct 8, 2024
Beds
65
Ownership / control type
Corporation
Multi-facility organization
Avon
Organization structure
LLCProprietary
Enrollment address
2060 Health Dr SW
Wyoming, MI 49519-9687
Nursing home name
HARBOR POST ACUTE CENTER
Affiliated entity
AVON HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Harbor Post Acute CenterCCN 235723
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Aug 1, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6560.7 residents per day on average
Chain
Avon Healthcare9 facilities in the chain
Penalties (3 years)
21Fines totaling $112,195

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
23D2141320Harbor Post Acute Center2060 Health Drive SW, Wyoming, MI 49519Certificate of waiverDec 11, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
2060 Health Drive LLC Organization, Wyoming, MI LLC Adp of the SNF May 1, 2025
Individual Indirect Ownership Interest May 1, 2025 4%
Eliyahu M Freund Individual 5% Or Greater Indirect Ownership Interest May 1, 2025 48%
Managing Control - Governing BodyChief Executive Officer May 1, 2025
Adp of the SNF May 1, 2025
Michael R Wiltrakis Individual Operational/Managerial Control Dec 1, 2021
Adp of the SNF Jul 23, 2025
Bryanna Bowers Individual Operational/Managerial Control Jun 11, 2025
Adp of the SNF Jun 11, 2025
Erin Miller Individual Operational/Managerial Control Aug 21, 2024
Individual Adp of the SNF May 1, 2025
Harbor Avon Management Organization, Lakewood, NJ LLC, Management services company Operational/Managerial Control May 1, 2025
Adp of the SNF May 1, 2025
Harbor Post Acute Realty Organization, Lakewood, NJ LLC, Holding company Adp of the SNF May 1, 2025
Moshe S Gottlieb Individual 5% Or Greater Indirect Ownership Interest May 1, 2025 48%
Adp of the SNF May 1, 2025
Hpac Mi LLC Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 1, 2025 100%
Individual Adp of the SNF May 1, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

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": "1503619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503619200000",
    "number": "1326565862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 PLAINFIELD AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251643",
            "telephone_number": "616-975-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 HEALTH DR SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495199687",
            "telephone_number": "616-333-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHBRIDGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-25",
        "last_updated": "2017-08-25",
        "status": "A",
        "authorized_official_last_name": "PIERSMA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "616-975-5205"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthBridge Post-Acute Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wyoming, MI

Sources for this page

Verify at the official NPI Registry.