Heather Hills Nursing, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HEATHER HILLS NURSING, LLC

Doing business as

Heather Hills Rehabilitation and Care Center

Practice address

1157 Medical Park Dr SE
Grand Rapids, MI 49546-3686

Phone

(616) 949-7310

Fax

(616) 956-0973

NPI assigned

Nov 30, 2012

Last updated

Jul 21, 2022By 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

Bretton J Bolt

Title

Ceo

Phone

(301) 991-1388

Specialties & licenses 2

Addresses

Other names 1

• Heather Hills Rehabilitation and Care Center Doing business as

Tax ID family

Heather Hills Nursing LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Trilogy Healthcare of Kent LLC

  dba The Oaks at Byron Center

  • Skilled Nursing Facility
  • Byron Center, MI
  • NPI 1356864474
  NPD tax ID

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

{
    "created_epoch": "1354233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1972848042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 RIDGEBROOK RD STE 130",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529469",
            "telephone_number": "410-387-0155",
            "fax_number": "502-213-9977"
        },
        {
            "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": "495463686",
            "telephone_number": "616-949-7310",
            "fax_number": "616-956-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER HILLS NURSING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BOLT",
        "authorized_official_first_name": "BRETTON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-991-1388"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heather Hills Rehabilitation and Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heathcliffe Haven Assisted Living, LLC
• Gail L Heathcote, CNM
• Heather Dermyer, LLC
• Heather Duthler
• Heather Hills Limited Partnership
• Heather Nitzki LLC (Impression Psychotherapy)
• Tamara Marie Heaven, H.U.C.C
• Samantha Heavner, OTR/L
• Cara Heberlein
• Carrie R Hecht, MD

• Skilled Nursing Facility in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Skilled Nursing Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.