Organization Active NPI

Alamo Nursing Home, Inc.

  • Skilled Nursing Facility
  • Kalamazoo, MI
National Provider Identifier
1821087701
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
394010 Issued in MI
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

Updated by the provider on Jul 3, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
09628OtherMIBLUE CROSS BLUE SHIELD
2150384MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 CenterCCN 235311 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Jun 17, 1976
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10092.1 residents per day on average
Chain
Avon Healthcare9 facilities in the chain
Special focus status
SFF Candidate
Penalties (3 years)
2Fines totaling $18,274

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
23D0377201Alamo Cove Nursing and Rehab Center8290 West C Ave, Kalamazoo, MI 49009Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Eliyahu M Freund Individual 5% Or Greater Indirect Ownership InterestChief Executive Officer Dec 21, 2023 48%
Corporate OfficerChief Executive Officer Dec 21, 2023
Quinn Perry Individual W-2 Managing EmployeeAd; Dec 21, 2023
Abdul S Shaikh Individual Contracted Managing EmployeeMD; Dec 21, 2023
Alamo Cove Op Holdco Organization, Lakewood, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 21, 2023 100%
Moshe S Gottlieb Individual 5% Or Greater Indirect Ownership InterestMember Dec 21, 2023 48%
Avon Alamo Management Organization, Lakewood, NJ LLC, Management services company, For-profit 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.

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

Verify at the official NPI Registry.