Active NPI
Greenview SNF, LLC
Doing business as Illuminate HC Grand Rapids North
- Skilled Nursing Facility
- Grand Rapids, MI
National Provider Identifier
1740779370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- GREENVIEW SNF, LLC
- Doing business as
- Illuminate HC Grand Rapids North
SKLD Grand Rapids North - Practice address
- 1700 Leonard St NE
Grand Rapids, MI 49505 - Phone
- (616) 456-7243
- NPI assigned
- May 9, 2018
- Last updated
- Aug 17, 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 | NU | Primary |
Addresses
Primary practice location
1700 Leonard St NE
Grand Rapids, MI 49505
Mailing address
620 Davis St Ste 200
Evanston, IL 60201-4419
Phone (312) 590-1055
Other names 2
- Illuminate HC Grand Rapids North
- SKLD Grand Rapids North
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, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1134149727
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": "1534464000000",
"number": "1740779370",
"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": "312-590-1055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 LEONARD ST NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "49505",
"telephone_number": "616-456-7243"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREENVIEW SNF, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-09",
"last_updated": "2018-08-17",
"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": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Illuminate HC Grand Rapids North",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SKLD Grand Rapids North",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.