Organization
ATRIUM HILLCREST LLC
Active
Parent organization
ATRIUM HILLCREST LLC
Other names
Riverside Nursing and Rehabilitation Community, CCG Lakeshore Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
ATRIUM HILLCREST LLC
Authorized official
JAMES FERKANY (SECRETARY)
(614) 454-6048
Entity
Organization
Contact information
Practice address
415 FRIANT ST, GRAND HAVEN, MI 49417-2311
(616) 842-4120
(616) 842-8742
Mailing address
415 FRIANT ST, GRAND HAVEN, MI 49417-2311
(616) 842-4120
(616) 842-8742
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
70-4090
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09621
BCBS PROVIDER CODE
MI
05
—
60 2154623
—
MI
Enumeration date
07/12/2005
Last updated
03/03/2025
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