Organization Active NPI

Atrium South Haven LLC

Doing business as South Haven Nursing and Rehabilitation Community

  • Skilled Nursing Facility
  • South Haven, MI
National Provider Identifier
1689672792
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
80-4030 Issued in MI
Legal business name
ATRIUM SOUTH HAVEN LLC
Doing business as
South Haven Nursing and Rehabilitation Community
Practice address
850 Phillips St
South Haven, MI 49090-1845
Phone
(269) 637-5147
Fax
(269) 637-4943
NPI assigned
Jul 12, 2005
Last updated
Mar 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Authorized official

Name
Dennis Lockhart
Title
Chief Accounting Officer
Phone
(614) 416-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 80-4030 MI Primary

Addresses

Primary practice location

850 Phillips St
South Haven, MI 49090-1845

Mailing address

850 Phillips St
South Haven, MI 49090-1845
Phone (269) 637-5147

Other identifiers 2

IdentifierTypeStateIssuer
60 3495037MedicaidMI
09947OtherMIBCBS PROVIDER CODE

Other names 2

  • South Haven Nursing and Rehabilitation Community Doing business as
  • Atrium South Haven, Inc. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050614000272 MI Part A Provider - Skilled Nursing Facility 2860436524 Practice locations: South Haven, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689672792. Details of each certification follow.

Skilled nursing facility certification: CCN 235270

Legal name
ATRIUM SOUTH HAVEN, INC.
Doing business as
SOUTH HAVEN NURSING AND REHABILITATION COMMUNITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 1976
Last certification
Oct 1, 2024
Beds
70
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Atrium Healthcare
Organization structure
CorporationProprietary
Incorporated
Feb 10, 1998 in MI
Enrollment address
850 Phillips St
South Haven, MI 49090-1845
Nursing home name
SOUTH HAVEN NURSING AND REHABILITATION COMMUNITY
Affiliated entity
ATRIUM CENTERS

Care Compare: Nursing home

Medicare Care Compare
Listed as
South Haven Nursing and Rehabilitation CommunityCCN 235270 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 1, 1976
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7064.4 residents per day on average
Chain
Atrium Centers26 facilities in the chain

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
23D0368551South Haven Nursing and Rehabilitation Community850 Phillips Street, South Haven, MI 49090Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Essel W Bailey Individual Corporate DirectorChairman of the Board Oct 1, 2007
Susan Albright Ross Individual Corporate OfficerCoo Dec 24, 2017
Donald D Finney Individual Corporate OfficerCeo Aug 1, 2003
Dennis a Lockhart Individual Corporate Director Jul 1, 2011
W-2 Managing EmployeeDirector of Operational Accounting Aug 3, 2003
Atrium Centers Management LLC Organization, Columbus, OH LLC Operational/Managerial Control Oct 1, 2007
Atrium Centers, LLC Organization, Columbus, OH Created for acquisition, Corporation 5% Or Greater Direct Ownership Interest Oct 1, 2007 100%

Facilities with the same owner 25

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 25

Practitioners & affiliated clinicians

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.

Affiliated clinicians 1

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": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1689672792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 PHILLIPS ST",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490901845",
            "telephone_number": "269-637-5147",
            "fax_number": "269-637-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 PHILLIPS ST",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490901845",
            "telephone_number": "269-637-5147",
            "fax_number": "269-637-4943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATRIUM SOUTH HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "LOCKHART",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "614-416-0600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "80-4030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60 3495037",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER CODE",
            "identifier": "09947",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Haven Nursing and Rehabilitation Community",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Haven Nursing and Rehabilitation Community",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Atrium South Haven, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in South Haven, MI

Sources for this page

Verify at the official NPI Registry.