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SPECTRUM HEALTH HOSPITALS NPI 1689101784


NPI Information

NPI: 1689101784
Provider Name: SPECTRUM HEALTH HOSPITALS

Doing Business As: SPECTRUM HEALTH REHAB AND NURSING CENTER-FULLER AVENUE

Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization
Address:
750 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 486-3001
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SPECTRUM HEALTH HOSPITALS is a skilled nursing facility in Grand Rapids, MI. The provider is (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 reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. SPECTRUM HEALTH HOSPITALS NPI is 1689101784. The provider is registered as an organization entity type.
The provider Is Doing Business As Spectrum Health Rehab And Nursing Center-fuller Avenue.

The provider's business location address is:

750 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503-918
Phone: (616) 486-3001

The provider's authorized official is Douglas Welday .
The authorized official title is Svp, Finance Shhg and has the following contact phone number (616) 391-2525.

The enumeration date for this NPI number is 5/19/2017 and was last updated on 5/19/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1314000000XSkilled Nursing Facility1070000195MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1624151184MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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