SPECTRUM HEALTH KELSEY (NPI# 1619162617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619162617 |
| Entity Type | Organization |
| Organization Name | SPECTRUM HEALTH KELSEY |
| Other Organization Name | SPECTRUM HEALTH REHAB & NURSING CENTERS - KELSEY |
| Practice Address |
418 Washington St Lakeview MI 48850-9806 |
| Practice Telephone | 9893527211 |
| Mailing Telephone | 9893527211 |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2014-06-03 |
| Authorized Official Name | MR. RYAN K JOHNSON (VP FINANCE) |
| Authorized Official Telephone | 6162256310 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities | ||
| Y | 314000000X | Skilled Nursing Facility | 593020 | MI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD | 09605 | 01 |
| MI | 622000387 | 05 |
| Other Name | Type Code |
|---|---|
| Spectrum Health Rehab & Nursing Centers - Kelsey | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730466822 | Spectrum Health Kelsey | General Practice | 420 S Lincoln St, Lakeview, MI 48850-8500 | 2011-11-03 |
| 1477846327 | Spectrum Health Kelsey | Registered Nurse | 418 Washington St, Lakeview, MI 48850-9806 | 2011-05-25 |
| 1144534520 | Spectrum Health Kelsey | Hospitalist | 418 Washington St, Lakeview, MI 48850-9806 | 2010-07-28 |
| 1356653182 | Spectrum Health Kelsey | Clinic/Center | 418 Washington St, Lakeview, MI 48850-7102 | 2010-07-09 |
| 1053582528 | Spectrum Health Kelsey | Medicare Defined Swing Bed Unit | 418 Washington Ave, Lakeview, MI 48850-9806 | 2008-03-12 |
| 1902941057 | Spectrum Health Kelsey | Personal Emergency Response Attendant | 418 Washington Ave, Lakeview, MI 48850 | 2007-02-20 |
| 1538102173 | Spectrum Health Kelsey | General Acute Care Hospital | 418 Washington St, Lakeview, MI 48850-7102 | 2006-06-13 |
| Street Address |
418 WASHINGTON ST |
| City | LAKEVIEW |
| State | MI |
| Zip Code | 48850-9806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568965184 | Samantha Varner | Occupational Therapist | 418 Washington St, Lakeview, MI 48850-7102 | 2018-03-09 |
| 1669974465 | Ryan William Norris | Physical Therapist | 418 Washington St, Lakeview, MI 48850-7102 | 2018-03-07 |
| 1679023964 | Sarah Rose Vanderhoof | Physician Assistant | 418 Washington St, Lakeview, MI 48850-7102 | 2016-10-11 |
| 1780057877 | Tangela Ann Zielinski | Social Worker | 418 Washington St, Lakeview, MI 48850-7102 | 2015-11-11 |
| 1659748259 | Melissa Joye Wilson | Nurse Practitioner | 418 Washington St, Lakeview, MI 48850-7102 | 2015-08-31 |
| 1033591805 | Brooke Hansen | Physician Assistant | 418 Washington St, Lakeview, MI 48850-7102 | 2015-06-29 |
| 1710369186 | Trina Hara | Family Medicine | 418 Washington St, Lakeview, MI 48850 | 2015-06-22 |
| 1710364054 | Spectrum Health Kelsey Hosp | Non-Pharmacy Dispensing Site | 418 Washington St, Lakeview, MI 48850-7102 | 2015-05-06 |
| 1760875918 | Spectrum Health United | Social Worker | 418 Washington St, Lakeview, MI 48850-7102 | 2015-03-12 |
| 1437548542 | Denise Joy Docter | Social Worker | 418 Washington St, Lakeview, MI 48850-7102 | 2015-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679110308 | Julie Ann Smith | Pharmacist | 9695 N Greenville Road, Lakeview, MI 48850 | 2019-12-02 |
| 1891856217 | William James Winget | Dentist | 924 S Lincoln Ave, Lakeview, MI 48850 | 2006-12-12 |
| 1831105618 | Health Visions Quest, Inc. | Physician Assistant | 332 S Lincoln Street, Lakeview, MI 48850 | 2006-07-31 |
| 1891714879 | Robert Nixon Huttinga | Physician Assistant | 332 S. Lincoln, Lakeview, MI 48850 | 2006-07-19 |
| 1336114727 | Har Swarup | General Practice | 313 Lincoln Street, Lakeview, MI 48850 | 2006-02-21 |
| 1124448634 | Naturally Simple, LLC | Advanced Practice Midwife | 332 S Lincoln Ave, Lakeview, MI 48850 | 2014-04-23 |
| 1902941057 | Spectrum Health Kelsey | Personal Emergency Response Attendant | 418 Washington Ave, Lakeview, MI 48850 | 2007-02-20 |
| 1871643809 | James Vernon Draper | Dentist | 924 S Lincoln Ave, Lakeview, MI 48850 | 2007-01-11 |
| 1265548689 | Harry Keith Treiber | Dentist | 412 Lincoln Ave., Lakeview, MI 48850-0080 | 2006-08-21 |
| 1467566752 | H. Keith Treiber Dds Family Dentistry PC | Dentist | 412 Lincoln Ave, Lakeview, MI 48850-0080 | 2006-08-17 |
| Find all providers in zip 48850 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | 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 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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154363794 | Heartland-indian Lake of Lakeview Oh LLC | Skilled Nursing Facility | 14442 Us Highway 33, Lakeview, OH 43331-9284 | 2006-06-11 |
| 1124561873 | Indian Lake Healthcare Group, LLC | Skilled Nursing Facility | 14442 Us Highway 33, Lakeview, OH 43331-9284 | 2016-11-29 |
| 1518376722 | Lakeview Gardens LLC | Skilled Nursing Facility | 700 South J St, Lakeview, OR 97630 | 2014-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538798731 | Windemere Park of Troy Operations LLC | Skilled Nursing Facility | 5990 N Adams Rd, Troy, MI 48098-2377 | 2020-04-08 |
| 1982235396 | Berg-lahser Snf, LLC | Skilled Nursing Facility | 21630 Hessel Ave # 1230, Detroit, MI 48219-1230 | 2020-02-04 |
| 1508497918 | Harmony Village Snf, LLC | Skilled Nursing Facility | 16588 Schaefer Hwy # 4249, Detroit, MI 48235-4249 | 2020-02-04 |
| 1336795244 | Ishpeming Nursing & Rehab Center, LLC | Skilled Nursing Facility | 435 Rd Pl, Ishpeming, MI 49849 | 2019-08-15 |
| 1669965299 | Wellbridge of Clarkston, LLC | Skilled Nursing Facility | 5655 Clarkston Road, Independence Township, MI 48348 | 2018-06-08 |
| 1104318112 | Wellbridge At Genesys Health Park, LLC | Skilled Nursing Facility | 3139 East Baldwin Road, Grand Blanc, MI 48439 | 2018-06-05 |
| 1427549955 | Mission Point of Detroit, LLC | Skilled Nursing Facility | 2102 Orleans, Detroit, MI 48207 | 2018-05-21 |
| 1912496324 | Regency At Independence Township, LLC | Skilled Nursing Facility | 6211 Stonewood Drive, Clarkston, MI 48346 | 2018-05-02 |
| 1972092344 | Regency At Grand Haven, LLC | Skilled Nursing Facility | 17049 Comstock St, Grand Haven, MI 49417-7903 | 2018-05-01 |
| 1093214173 | Sana Nasir Inc. | Skilled Nursing Facility | 13840 King Rd, Riverview, MI 48193 | 2018-02-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SPECTRUM HEALTH KELSEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.