Organization · Type 2 NPI

Porter Hills Presbyterian Village, Inc.

Skilled Nursing Facility · Grand Rapids, MI

NPI number 1326013830 Active

Practice location

3600 E Fulton Street
Grand Rapids, MI 49546-1322

Call (616) 949-4971 Map

Fax (616) 974-1986

Mailing address

4450 Cascade Road SE, Suite 200
Grand Rapids, MI 49546-8330

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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NPI record

NPI: 1326013830
Entity type: Organization (Type 2)
Issued: Feb 19, 2006
Last updated: Mar 29, 2022
Status: Active

Other names

<unavail>
Porter Hills Health Center · doing business as
Porter Hills Health Center · doing business as
Porter Hills Presbyterian Village, Inc. · other name

Authorized official

Nicole Lynn Maag
Chief Residential Officer
(616) 460-9441

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1326013830

Porter Hills Presbyterian Village, Inc.'s National Provider Identifier is 1326013830, issued on Feb 19, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Grand Rapids, MI. The record was last updated on Mar 29, 2022.