Active NPI
Altercare of Big Rapids Center for Rehabilitation & Nursing Care Inc
- Skilled Nursing Facility
- Big Rapids, MI
National Provider Identifier
1487626941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 544022
- Legal business name
- ALTERCARE OF BIG RAPIDS CENTER FOR REHABILITATION & NURSING CARE INC
- Practice address
- 805 West Ave
Big Rapids, MI 49307-9274 - Phone
- (616) 796-3185
- NPI assigned
- Feb 7, 2006
- Last updated
- Apr 23, 2020
- 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. Kathleen R Johnson
- Title
- VP Finance/Controller
- Phone
- (330) 498-5233
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 544022 | MI | Primary |
Addresses
Primary practice location
805 West Ave
Big Rapids, MI 49307-9274
Mailing address
339 E Maple St
Suite 100
North Canton, OH 44720-2593
Phone (330) 498-8101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1949426 | Medicaid | MI |
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 |
|---|---|---|---|
| 23D0378973 | Altercare of Big Rapids | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1093792574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1587600000000",
"number": "1487626941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "339 E MAPLE ST",
"address_2": "SUITE 100",
"city": "NORTH CANTON",
"state": "OH",
"postal_code": "447202593",
"telephone_number": "330-498-8101",
"fax_number": "330-498-8108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 WEST AVE",
"city": "BIG RAPIDS",
"state": "MI",
"postal_code": "493079274",
"telephone_number": "616-796-3185"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALTERCARE OF BIG RAPIDS CENTER FOR REHABILITATION & NURSING CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-07",
"last_updated": "2020-04-23",
"certification_date": "2020-04-23",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "VP FINANCE/CONTROLLER",
"authorized_official_telephone_number": "330-498-5233",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MI",
"license": "544022",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1949426",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Big Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.