Active NPI
Ionia SNF, LLC
- Skilled Nursing Facility
- Ionia, MI
National Provider Identifier
1649769282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- IONIA SNF, LLC
- Practice address
- 814 E Lincoln Ave
Ionia, MI 48846-1314 - Phone
- (616) 527-0080
- NPI assigned
- May 9, 2018
- 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
- Yair Zuckerman
- Title
- Manager
- Phone
- (773) 517-4777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
814 E Lincoln Ave
Ionia, MI 48846-1314
Mailing address
620 Davis St Ste 200
Evanston, IL 60201-4419
Phone (773) 620-9107
Other names 2
- Illuminate HC Ionia
- SKLD Ionia
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 |
|---|---|---|---|
| 23D0375759 | Ionia SNF, LLC | 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.
-
- 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": "1525824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529107200000",
"number": "1649769282",
"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": "773-620-9107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "814 E LINCOLN AVE",
"city": "IONIA",
"state": "MI",
"postal_code": "488461314",
"telephone_number": "616-527-0080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IONIA SNF, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-09",
"last_updated": "2018-06-16",
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Illuminate HC Ionia",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SKLD Ionia",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ionia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.