Christian Care
Organization Active NPI Nursing Facility/Intermediate Care Facility · Muskegon, MI
NPI 1710095641 · NPPES record last updated Nov 29, 2022
Key facts
- NPI
- 1710095641
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nursing Facility/Intermediate Care Facility 313M00000X
- License
- 614010 (MI)
- Legal business name
- CHRISTIAN CARE
- Practice address
- 2053 S Sheridan Dr
Muskegon, MI 49442-6254 - Phone
- (231) 722-7165
- Fax
- (231) 722-7603
- NPI assigned
- Aug 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Lisa Kroesing
- Title
- Director of Finance
- Phone
- (231) 722-7165
Corporate family (same tax ID) 1
Practitioners 4
-
Kristin Burgess, LMSW
-
Nathan Dills, DO
-
Jay Albert Klein, DO
Affiliated clinicians 2
-
Nathan Dills, DO
Medicare Care Compare: Nursing home
- Listed as
- Christian Care Nursing Center
- 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
- Non profit - Corporation
- Certified
- May 23, 2012
- Medicare certification status
- Active
- Certified beds
- 49 · 46.1 residents per day on average
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D0379782 | Christian Care Nursing Home | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Skilled nursing facility certification: CCN 235656
- Legal name
- CHRISTIAN CARE
- Doing business as
- CHRISTIAN CARE NURSING CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 23, 2012
- Last certification
- Mar 27, 2025
- Beds
- 49
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 2053 S Sheridan Dr
Muskegon, MI 49442-6254 - Nursing home name
- CHRISTIAN CARE NURSING CENTER
All disclosed owners & managing parties 6
| Name | Role | Since | Share |
|---|---|---|---|
| Anatoliy Shir |
Corporate Officer |
Sep 6, 2024 | |
| William Prather |
Corporate Director |
Sep 6, 2024 | |
| Michael Ross |
W-2 Managing Employee |
Jan 9, 2023 | 50% |
| Roberto Cortes |
W-2 Managing Employee |
Jan 2, 2018 | 50% |
| Paul Klibanow |
Corporate Officer |
Sep 6, 2024 | |
| Christian Care |
5% Or Greater Direct Ownership Interest | Jan 1, 1966 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101217000335 | MI | Part a Provider - Skilled Nursing Facility | 8729178207 | Practice locations: Muskegon, MI |
National Provider Directory
- Tax ID family
- Christian Care
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Alzheimer Center (Dementia Center) | 311500000X | 614010 | MI | |
| Nursing Facility/Intermediate Care Facility | 313M00000X | 614010 | MI | Yes |
Addresses
Primary practice location
2053 S Sheridan Dr
Muskegon, MI 49442-6254
Mailing address
2053 S Sheridan
Muskegon, MI 49442
Phone (231) 722-7165
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2151292 | Medicaid | MI |
Other names
- Christian Care Nursing Center
Other providers in Muskegon, MI
- Kipp L Chillag
- Blessing Tambudzai Chirenje
- Jamie Ann Chmielewski
- Choicecare in-Home Care Services LLC
- Paul M. Chovaz
- Christian Care Inc.
- Christian Jansen-Yee PSYD & Associates PC
- Christian Retirement Home Inc
- Sharon Eileen Christian
- Trayton Christiansen
All providers in Muskegon, MI · Nursing Facility/Intermediate Care Facility in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.