Active NPI
Atrium South Haven LLC
Doing business as South Haven Nursing and Rehabilitation Community
- Skilled Nursing Facility
- South Haven, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 80-4030
- 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, 2025
- 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
- Dennis Lockhart
- Title
- Chief Accounting Officer
- Phone
- (614) 416-0600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60 3495037 | Medicaid | MI | |
| 09947 | Other | MI | BCBS PROVIDER CODE |
Other names 2
- South Haven Nursing and Rehabilitation Community
- Atrium South Haven, Inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Community
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Apr 1, 1976
- Medicare certification status
- Active
- Certified beds
- 70
- Chain
- Atrium Centers
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 |
|---|---|---|---|
| 23D0368551 | South Haven Nursing and Rehabilitation Community | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Essel W Bailey | Corporate Director | Oct 1, 2007 | |
| Susan Albright Ross | Corporate Officer | Dec 24, 2017 | |
| Donald D Finney | Corporate Officer | Aug 1, 2003 | |
| Dennis a Lockhart | Corporate Director | Jul 1, 2011 | |
| W-2 Managing Employee | Aug 3, 2003 | ||
| Atrium Centers Management LLC | Operational/Managerial Control | Oct 1, 2007 | |
| Atrium Centers, LLC | 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.
-
dba Allendale Nursing and Rehabilitation Community
- Skilled Nursing Facility
- Allendale, MI
- NPI 1871591214
Atrium Centers Management LLC, Atrium Centers, LLC
-
dba Fairview Nursing and Rehabilitation Community
- Skilled Nursing Facility
- Centreville, MI
- NPI 1841298288
Atrium Centers Management LLC, Atrium Centers, LLC
-
dba Freeman Nursing and Rehabilitation Community
- Skilled Nursing Facility
- Kingsford, MI
- NPI 1568460939
Atrium Centers Management LLC, Atrium Centers, LLC
-
dba Gladwin Nursing and Rehabilitation Community
- Skilled Nursing Facility
- Gladwin, MI
- NPI 1225036395
Atrium Centers Management LLC, Atrium Centers, LLC
-
dba Grayling Nursing and Rehabilitation Community
- Skilled Nursing Facility
- Grayling, MI
- NPI 1851399927
Atrium Centers Management LLC, Atrium Centers, LLC
-
dba Heritage Nursing and Rehabilitation Community
- Skilled Nursing Facility
- Zeeland, MI
- NPI 1558369637
Atrium Centers Management LLC, Atrium Centers, LLC
-
dba Hillcrest Nursing and Rehabilitation Community
- Skilled Nursing Facility
- North Muskegon, MI
- NPI 1518965698
Atrium Centers Management LLC, Atrium Centers, LLC
-
dba Riverside Nursing and Rehabilitation Community
- Skilled Nursing Facility
- Grand Haven, MI
- NPI 1538167630
Atrium Centers Management LLC, Atrium Centers, LLC
-
dba Westgate Nursing, Rehabilitation & Assisted Living Community
- Skilled Nursing Facility
- Ironwood, MI
- NPI 1275531386
Atrium Centers Management LLC, Atrium Centers, LLC
-
- Skilled Nursing Facility
- Houghton Lake, MI
- NPI 1780682864
Atrium Centers Management LLC, Atrium Centers, LLC
-
dba Lincoln Haven Nursing and Rehabilitation Community
- Skilled Nursing Facility
- Lincoln, MI
- NPI 1073511168
Atrium Centers Management LLC, Atrium Centers, LLC
-
dba Marshall Nursing and Rehabilitation Community
- Skilled Nursing Facility
- Marshall, MI
- NPI 1013915115
Atrium Centers Management LLC, Atrium Centers, LLC
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.
-
- Internal Medicine Physician
- Battle Creek, MI
- NPI 1205149325
-
- Family Medicine Physician
- Three Rivers, MI
- NPI 1437398831
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.