Porter Hills Presbyterian Village, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PORTER HILLS PRESBYTERIAN VILLAGE, INC.

Practice address

3600 Fulton St E
Grand Rapids, MI 49546-1322

Phone

(616) 949-4971

NPI assigned

Feb 13, 2026

Organization subpart

Yes

Parent organization

PORTER HILLS PRESBYTERIAN VILLAGE, INC.As reported in NPPES

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

Authorized official

Name

Nicole Lynn Maag, RN, NHA, CALD, COS

Title

Chief of Residential Services

Phone

(616) 460-9441

Specialties & licenses 1

Addresses

Tax ID family

Porter Hill Presbyteria3 organizations share this tax ID, including this one

Part of

Porter Hill Presbyteria

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Porter Hills Presbyterian Village, Inc.

  • Skilled Nursing Facility
  • Grand Rapids, MI
  • NPI 1326013830
  NPD tax ID
• Porter Hills Presbyterian Village, Inc.

  • Skilled Nursing Facility
  • Grand Rapids, MI
  • NPI 1396975546
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1770940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1770435455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 FULTON ST E",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495461322",
            "telephone_number": "616-949-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 FULTON ST E",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495461322",
            "telephone_number": "616-949-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTER HILLS PRESBYTERIAN VILLAGE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PORTER HILLS PRESBYTERIAN VILLAGE, INC.",
        "enumeration_date": "2026-02-13",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "MAAG",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CHIEF OF RESIDENTIAL SERVICES",
        "authorized_official_telephone_number": "616-460-9441",
        "authorized_official_credential": "RN, NHA, CALD, COS"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mellany J Porraz, LMSW
• Porter Hills Home Health West
• Porter Hills Presbyterian Village, Inc.
• Porter Hills Presbyterian Village, Inc.
• Porter Hills Presbyterian Village, Inc.
• Porter Hills Rehabilitation, L.L.C.
• Porter Hills Retirement Communities & Services
• Porter Hills Services
• Amaris Porter
• Calvin Porter

• Assisted Living Facility in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Assisted Living Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.