# ATRIUM HERITAGE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heritage Nursing and Rehabilitation Community
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558369637
- **Authorized official:** DENNIS LOCKHART (CHIEF ACCOUNTING OFFICER)
- **Authorized official phone:** (614) 416-0600

## Contact information

- **Practice address:** 320 E CENTRAL AVE, ZEELAND, MI 49464-1706
- **Practice address phone:** (616) 772-9191
- **Practice address fax:** (616) 772-1459
- **Mailing address:** 320 E CENTRAL AVE, ZEELAND, MI 49464-1706
- **Mailing address phone:** (616) 772-9191
- **Mailing address fax:** (616) 721-4597

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 70-4110 | MI | Yes |

## Other

- **Enumeration date:** 07/12/2005
- **Last updated:** 03/03/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 09533 | BCBS PROVIDER CODE | MI |
| 05 | — | 60 1888699 | — | MI |