Spectrum Health United
Organization Active NPI Skilled Nursing Facility · Greenville, MI
NPI 1962697946 · NPPES record last updated Aug 15, 2023
Key facts
- NPI
- 1962697946
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 593050 (MI)
- Legal business name
- SPECTRUM HEALTH UNITED
- Practice address
- 615 S Bower St
Greenville, MI 48838-2614 - Phone
- (616) 754-4691
- NPI assigned
- Sep 12, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Matthew E Cox
- Title
- Cfo
- Phone
- (616) 391-1663
Owners & managing parties with NPI records 6
-
Simin Beg, MD
-
Iris Boettcher, MD
-
Talawnda L Bragg, MD
-
Annica E Waalkes, MD
Owned or controlled facilities with NPI records 2
Other NPIs with the same Medicare PAC ID 6
Corporate family (same tax ID) 39
Facilities with the same owner 66
Practitioners 90
-
Jusith A Amparo, DO
-
Mark W Armstrong, DO
-
Lee P. Begrow, DO
-
Nicholas William Blank, M.D.
-
Sada Mae Brown, NP
-
Ruth Ann Bruce, D.O.
-
Sabrina Lyn Carlson, MSN, FNP-C
-
William Donald Clark, D.O.
-
Charles Trevor Crellin, M.D.
-
David Jonathan Cutter, PA-C
-
Justin Drobish, MD
-
Alyssa Fedorko, MD/PHD
-
Amanda Veenhuis Felber, PA-C
-
Anthony M Foster, M.D.
Affiliated clinicians 1
Medicare Care Compare: Nursing home
- Listed as
- Corewell Health Greenville Hospital Rehabilitation
- Overall star rating
- ★★★★★ 5 of 5
- Health inspections
- ★★★★★ 5 of 5
- Staffing
- ★★★★★ 5 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Sep 27, 1967
- Medicare certification status
- Active
- Certified beds
- 39 · 33.5 residents per day on average
- Chain
- Corewell Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Skilled nursing facility certification: CCN 235143
- Legal name
- SPECTRUM HEALTH UNITED
- Doing business as
- COREWELL HEALTH GREENVILLE HOSPITAL REHABILITATION & NURSING CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 27, 1967
- Last certification
- Apr 17, 2025
- Beds
- 39
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- Corewell Health
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 615 S Bower St
Greenville, MI 48838-2614 - Nursing home name
- COREWELL HEALTH GREENVILLE HOSPITAL REHABILITATION & NURSING CENTER
- Affiliated entity
- COREWELL HEALTH
All disclosed owners & managing parties 19
| Name | Role | Since | Share |
|---|---|---|---|
| Karen R Pakkala |
Corporate Officer |
Sep 8, 2023 | 100% |
| Adp of the SNF | Sep 8, 2023 | ||
| Christina Freese Decker |
Corporate Officer |
Feb 1, 2022 | |
| Adp of the SNF | May 6, 2025 | ||
| Talawnda L Bragg |
Corporate Director |
Jan 1, 2022 | |
| Christopher B Port |
Corporate Director |
Aug 18, 2020 | |
| Ronald M Hofman |
Corporate Director |
Aug 18, 2020 | |
| Annica Euurand Waalkes |
Corporate Director |
Aug 18, 2020 | |
| Matthew E Cox |
Corporate Officer |
Feb 1, 2022 | |
| Mark Wilson |
Corporate Director |
Aug 18, 2020 | |
| Corewell Health |
5% Or Greater Direct Ownership Interest | Apr 29, 2013 | 100% |
| Adp of the SNF | Apr 29, 2013 | ||
| Direct Ownership Interest | Apr 29, 2013 | 100% | |
| Johannie M Torres |
Corporate Director |
Aug 18, 2020 | |
| Mary Doornbos |
Corporate Director |
Aug 18, 2020 | |
| Shelly Parker |
Operational/Managerial Control | Mar 14, 2004 | |
| Adp of the SNF | Mar 14, 2004 | ||
| John Buckley |
Corporate Director |
Aug 18, 2020 | |
| Sam R Watson |
Corporate Director |
Aug 18, 2020 | |
| Bill P Pink |
Corporate Director |
Aug 18, 2020 | |
| Simin Beg |
Corporate Director |
Aug 18, 2020 | |
| Lynnette Ferrell-Robinson |
Corporate Director |
Aug 18, 2020 | |
| Iris F Boettcher |
Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Tamila Marlow |
Operational/Managerial Control | Sep 1, 2020 | |
| Adp of the SNF | Sep 1, 2020 |
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Corewell Health Greenville Hospital Family Medicine-Belding |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Corewell Health Greenville Hospital Multispecialty Center-Lakeview |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jun 8, 2014 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040609000786 | MI | Part a Provider - Skilled Nursing Facility | 6305836487 | Practice locations: Greenville, MI |
National Provider Directory
- Tax ID family
- United Memorial Hosp
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | |||
| Skilled Nursing Facility | 314000000X | 593050 | MI | Yes |
Addresses
Primary practice location
615 S Bower St
Greenville, MI 48838-2614
Mailing address
615 S Bower St
Greenville, MI 48838-2614
Phone (616) 754-4691
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09675 | Other | MI | BLUE CROSS BLUE SHIELD |
| 622000707 | Medicaid | MI |
Other names
- Corewell Health Greenville Hospital Rehabilitation & Nursing Center
- Spectrum Health United Hospital Rehab and Nursing Center
Other providers in Greenville, MI
- Spectrum Health United
- Spectrum Health United
- Spectrum Health United
- Spectrum Health United
- Spectrum Health United
- Spectrum Health United
- Spectrum Health United Memorial
- Spectrum Heatlh United
- Spectrum Heatlh United
- Kathryn S Spengler
All providers in Greenville, MI · Skilled Nursing Facility in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.