Organization Active NPI

Christian Care

Doing business as Christian Care Nursing Center

  • Nursing Facility/Intermediate Care Facility
  • Muskegon, MI
National Provider Identifier
1710095641
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
614010 Issued in MI
Legal business name
CHRISTIAN CARE
Doing business as
Christian Care Nursing Center
Practice address
2053 S Sheridan Dr
Muskegon, MI 49442-6254
Phone
(231) 722-7165
Fax
(231) 722-7603
NPI assigned
Aug 29, 2006
Last updated
Nov 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Authorized official

Name
Ms. Lisa Kroesing
Title
Director of Finance
Phone
(231) 722-7165

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X 614010 MI
Nursing Facility/Intermediate Care Facility 313M00000X 614010 MI Primary

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 names 1

  • Christian Care Nursing Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101217000335 MI Part A Provider - Skilled Nursing Facility 8729178207 Practice locations: Muskegon, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710095641. Details of each certification follow.

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
CorporationNon-profit
Enrollment address
2053 S Sheridan Dr
Muskegon, MI 49442-6254
Nursing home name
CHRISTIAN CARE NURSING CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Christian Care Nursing CenterCCN 235656 · 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
Non profit - Corporation
Certified
May 23, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4946.1 residents per day on average

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
23D0379782Christian Care Nursing Home2053 Sheridan Drive, Muskegon, MI 49442Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Christian Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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
Anatoliy Shir Individual Corporate OfficerPresident Sep 6, 2024
William Prather Individual Corporate DirectorBoard Member Sep 6, 2024
Michael Ross Individual W-2 Managing EmployeeExecutive Director Jan 9, 2023 50%
Roberto Cortes Individual W-2 Managing EmployeeAdministrator Jan 2, 2018 50%
Paul Klibanow Individual Corporate OfficerTreasurer/Secretary Sep 6, 2024
Christian Care Organization, Muskegon, MI Created for acquisition, Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 1966 100%

Practitioners & affiliated clinicians

Practitioners 4

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 2

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": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1710095641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2053 S SHERIDAN",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "49442",
            "telephone_number": "231-722-7165",
            "fax_number": "231-722-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2053 S SHERIDAN DR",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494426254",
            "telephone_number": "231-722-7165",
            "fax_number": "231-722-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "KROESING",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "231-722-7165",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "MI",
            "license": "614010",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MI",
            "license": "614010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christian Care Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Christian Care Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.