Knollview SNF, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

KNOLLVIEW SNF, LLC

Doing business as

Illuminate HC Muskegon
SKLD Muskegon

Practice address

1061 W Hackley Ave
Muskegon, MI 49441

Phone

(231) 755-2255

NPI assigned

May 9, 2018

Last updated

Aug 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yair Zuckerman

Title

Manager

Phone

(773) 517-4777

Specialties & licenses 1

Addresses

Other names 2

• Illuminate HC Muskegon Doing business as
• SKLD Muskegon Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carrie S Sandborn, D.O.

  • Family Medicine Physician
  • East Lansing, MI
  • NPI 1356540116
  NPD (past)
• Krystyna Barbara Solarewicz, M.D.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1134149727
  NPD (past)

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1366931909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 DAVIS ST STE 200",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014419",
            "telephone_number": "312-590-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 W HACKLEY AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "49441",
            "telephone_number": "231-755-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOLLVIEW SNF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-09",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "ZUCKERMAN",
        "authorized_official_first_name": "YAIR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-517-4777"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Illuminate HC Muskegon",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SKLD Muskegon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emilie D Klop, DIETICIAN
• Brishia Lee Kluck, LMSW
• Joanne Michele Kmetz
• Karen Marie Knapp, RN, CNOR, CRNFA
• Cameron Wayne Knight, DO
• Benjamin D Knopf, PT, DPT
• Holly L Knowles, PA-C
• Yumiko T Knudson, MD
• Melissa Kathy Koekkoek, M.D.
• Deirdre Kohley

• Skilled Nursing Facility in Muskegon, MI
• Providers in Muskegon, 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 Aug 17, 2018; 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.