NPI Information

  • NPI: 1679516207
  • Provider Name: HACKLEY HOSPITAL
  • Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
  • Entity Type: Organization
  • Doing Business As: PORTER HILLS HEALTH CENTER
  • Address: 3600 FULTON ST E
    GRAND RAPIDS, MI
    ZIP 49546
  • Phone: (231) 727-7944

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NPI Details

HACKLEY HOSPITAL is a nursing facility intermediate care facility in Grand Rapids, MI. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. HACKLEY HOSPITAL NPI is 1679516207. The provider is registered as an organization entity type.
The provider Is Doing Business As Porter Hills Health Center.

The provider's business location address is:

3600 FULTON ST E
GRAND RAPIDS, MI
ZIP 49546-322
Phone: (231) 727-7944

The provider's authorized official is Marjorie Young .
The authorized official title is Coo and has the following contact phone number (231) 727-7951.

The enumeration date for this NPI number is 6/13/2006 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1313M00000XNursing Facility/Intermediate Care FacilityYes

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: 11/21/2025

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