Heather Hills Limited Partnership

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

414370 Issued in MI

Legal business name

HEATHER HILLS LIMITED PARTNERSHIP

Practice address

1157 Medical Park Dr SE
Grand Rapids, MI 49546-3699

Phone

(616) 949-7310

Fax

(616) 956-0973

NPI assigned

Jul 7, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Lee Dockham, NHA

Title

Executive Director

Phone

(616) 949-7310

Specialties & licenses 1

Addresses

Other names 1

• Heather Hills Care Center Other name

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891792735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 MEDICAL PARK DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463699",
            "telephone_number": "616-949-7310",
            "fax_number": "616-956-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 MEDICAL PARK DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463699",
            "telephone_number": "616-949-7310",
            "fax_number": "616-956-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER HILLS LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOCKHAM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "616-949-7310",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MI",
            "license": "414370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heather Hills Care Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hearty Homes
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• Gail L Heathcote, CNM
• Heather Dermyer, LLC
• Heather Duthler
• Heather Hills Nursing, LLC (Heather Hills Rehabilitation and Care Center)
• Heather Nitzki LLC (Impression Psychotherapy)
• Tamara Marie Heaven, H.U.C.C
• Samantha Heavner, OTR/L
• Cara Heberlein

• Nursing Facility/Intermediate Care Facility in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Nursing Facility/Intermediate Care Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.