Active NPI
Healthbridge LLC
- Skilled Nursing Facility
- Wyoming, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Aug 1, 2018
- Medicare certification status
- Active
- Certified beds
- 65
- Chain
- Avon Healthcare
- Penalties (3 years)
- 21
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2141320 | Harbor Post Acute Center | Certificate of waiver | Dec 11, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| 2060 Health Drive LLC | Adp of the SNF | May 1, 2025 | |
| Indirect Ownership Interest | May 1, 2025 | 4% | |
| Eliyahu M Freund | 5% Or Greater Indirect Ownership Interest | May 1, 2025 | 48% |
| Managing Control - Governing Body | May 1, 2025 | ||
| Adp of the SNF | May 1, 2025 | ||
| Michael R Wiltrakis | Operational/Managerial Control | Dec 1, 2021 | |
| Adp of the SNF | Jul 23, 2025 | ||
| Bryanna Bowers | Operational/Managerial Control | Jun 11, 2025 | |
| Adp of the SNF | Jun 11, 2025 | ||
| Erin Miller | Operational/Managerial Control | Aug 21, 2024 | |
| Adp of the SNF | May 1, 2025 | ||
| Harbor Avon Management | Operational/Managerial Control | May 1, 2025 | |
| Adp of the SNF | May 1, 2025 | ||
| Harbor Post Acute Realty | Adp of the SNF | May 1, 2025 | |
| Moshe S Gottlieb | 5% Or Greater Indirect Ownership Interest | May 1, 2025 | 48% |
| Adp of the SNF | May 1, 2025 | ||
| Hpac Mi LLC | 5% Or Greater Direct Ownership Interest | May 1, 2025 | 100% |
| 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.
-
- Internal Medicine Physician
- Wyoming, MI
- NPI 1447465349
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adolescent Medicine (Internal Medicine) Physician
- Lowell, MI
- NPI 1962690073
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1093792574
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Adolescent Medicine (Internal Medicine) Physician
- Lowell, MI
- NPI 1962690073
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.