Clark Retirement Community, Inc.
NPI 1265421051ActiveOrganization· Skilled Nursing Facility· Grand Rapids, MI
Skilled Nursing Facility in Grand Rapids, Michigan, registered in NPPES in October 2005. The authorized official on file is Brian A. Pangle, President/Ceo. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1265421051 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 14, 2005 |
| Last updated in NPPES | Apr 7, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 235401 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (MI) |
|---|
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