Active NPI
Alamo Nursing Home, Inc.
- Skilled Nursing Facility
- Kalamazoo, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 394010
- Legal business name
- ALAMO NURSING HOME, INC.
- Practice address
- 8290 W C Ave
Kalamazoo, MI 49009-8825 - Phone
- (269) 343-2587
- Fax
- (269) 343-7707
- NPI assigned
- Oct 14, 2005
- 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
- Mrs. Patricia A Perry, RN
- Title
- Administrator
- Phone
- (269) 343-2587
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 394010 | MI | Primary |
Addresses
Primary practice location
8290 W C Ave
Kalamazoo, MI 49009-8825
Mailing address
8290 W C Ave
Kalamazoo, MI 49009-8825
Phone (269) 343-2587
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09628 | Other | MI | BLUE CROSS BLUE SHIELD |
| 2150384 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111123000584 | MI | Part A Provider - Skilled Nursing Facility | 6800060120 | Practice locations: Kalamazoo, MI |
Skilled nursing facility certification: CCN 235311
- Legal name
- ALAMO NURSING HOME, INC.
- Doing business as
- ALAMO COVE REHAB AND NURSING CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Jun 17, 1976
- Last certification
- Feb 26, 2025
- Beds
- 100
- Ownership / control type
- Individual
- Organization structure
- Corporation
- Incorporated
- Jan 1, 1972 in MI
- Enrollment address
- 8290 W C Ave
Kalamazoo, MI 49009-8825 - Nursing home name
- ALAMO COVE REHAB AND NURSING CENTER
- Affiliated entity
- AVON HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Alamo Cove Rehab and Nursing Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Jun 17, 1976
- Medicare certification status
- Active
- Certified beds
- 100
- Chain
- Avon Healthcare
- Special focus status
- SFF Candidate
- Penalties (3 years)
- 2
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 |
|---|---|---|---|
| 23D0377201 | Alamo Cove Nursing and Rehab Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
8290 W C Ave
Kalamazoo, MI 49009
Phone (269) 343-2587
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Eliyahu M Freund | 5% Or Greater Indirect Ownership Interest | Dec 21, 2023 | 48% |
| Corporate Officer | Dec 21, 2023 | ||
| Quinn Perry | W-2 Managing Employee | Dec 21, 2023 | |
| Abdul S Shaikh | Contracted Managing Employee | Dec 21, 2023 | |
| Alamo Cove Op Holdco | 5% Or Greater Direct Ownership Interest | Dec 21, 2023 | 100% |
| Moshe S Gottlieb | 5% Or Greater Indirect Ownership Interest | Dec 21, 2023 | 48% |
| Avon Alamo Management | Operational/Managerial Control | Dec 21, 2023 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Zeeland, MI
- NPI 1780688051
-
- Internal Medicine Physician
- Plainwell, MI
- NPI 1619088358
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": "1129248000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215043200000",
"number": "1821087701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8290 W C AVE",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490098825",
"telephone_number": "269-343-2587",
"fax_number": "269-343-7707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8290 W C AVE",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490098825",
"telephone_number": "269-343-2587",
"fax_number": "269-343-7707"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALAMO NURSING HOME, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-14",
"last_updated": "2008-07-03",
"status": "A",
"authorized_official_last_name": "PERRY",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "269-343-2587",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MI",
"license": "394010",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "09628",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2150384",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.