SKLD WYOMING
NPI 1073002606
Skilled Nursing Facility in Wyoming, MI


Overall Rating: 3 out of 5 stars

NPI Status: Active since May 09, 2018

Contact Information

625 36TH ST SW
WYOMING, MI
ZIP 49509
Phone: (616) 531-0200

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  • Organization
  • Skilled Nursing Facility
  • Accepts Insurance
  • CLIA Number: 23D0380760
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 08-31-2026

About SKLD WYOMING

This page provides the complete NPI Profile along with additional information for Skld Wyoming, a provider established in Wyoming, Michigan operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1073002606 assigned on May 2018. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Skld Wyoming. The authorized official of this NPI record is Yair Zuckerman (Manager)

NPI
1073002606
Provider Legal Name
CRESTVIEW SNF, LLC
Other Organization Name
SKLD WYOMING
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
625 36TH ST SW WYOMING, MI 49509
Location Phone
(616) 531-0200
Mailing Address
620 DAVIS ST STE 200 EVANSTON, IL 60201
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-09-2018
Last Update Date
08-17-2018
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According to the Nursing Home Compare program data, Skld Wyoming has an average overall quality rating based on the provider's performance on three separate measures including: health inspections, staffing, and quality of resident care information. These quality measures, combined in a star rating of 3 out of 5 stars provide a snapshot of this nursing home quality.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
(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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Blue Cross� Local HMO Bronze Extra - HMO
  • Blue Cross� Local HMO Bronze Secure - HMO
  • Blue Cross� Local HMO Silver Extra - HMO
  • Blue Cross� Local HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO
  • Bronze First - HMO
  • Bronze First Adult Vision & Fitness - HMO
  • Diabetes Gold - HMO
  • Diabetes Gold Adult Vision & Fitness - HMO
  • Diabetes Silver - HMO
  • Diabetes Silver Adult Vision & Fitness - HMO
  • Gold - HMO
  • Gold Adult Vision & Fitness - HMO
  • HDHP Preventive Silver - HMO
  • Healthy Heart Gold - HMO
  • MHP Bronze - HMO
  • MHP Bronze Saver (Expanded) - HMO
  • MHP Expanded Bronze Standard - HMO
  • MHP Gold - HMO
  • MHP Gold Standard - HMO
  • MHP Silver Exchange - HMO
  • MHP Silver Exchange Rewards - HMO
  • MHP Silver Standard - HMO
  • MHP Young Adult/Catastrophic - HMO
  • MyPriority Balanced Silver - HMO
  • MyPriority Balanced Silver Corewell Health West Michigan Network - HMO
  • MyPriority Balanced Silver Corewell Health West Michigan Network (Allegan, Barry) - HMO
  • MyPriority Enhanced Gold Corewell Health West Michigan Network - HMO
  • MyPriority Enhanced Gold Corewell Health West Michigan Network (Allegan, Barry) - HMO
  • MyPriority Premier Silver - HMO
  • MyPriority Premier Silver Corewell Health West Michigan Network - HMO
  • MyPriority Premier Silver Corewell Health West Michigan Network (Allegan, Barry) - HMO
  • MyPriority Standard Bronze - HMO
  • MyPriority Standard Bronze - Corewell Health West Michigan Network - HMO
  • University of Michigan Health Plan HMO Exclusive Bronze - HMO
  • University of Michigan Health Plan HMO Exclusive Bronze HSA - HMO
  • University of Michigan Health Plan HMO Exclusive Bronze Standard - HMO
  • University of Michigan Health Plan HMO Exclusive Catastrophic - HMO
  • University of Michigan Health Plan HMO Exclusive Gold Classic - HMO
  • University of Michigan Health Plan HMO Exclusive Gold Select - HMO
  • University of Michigan Health Plan HMO Exclusive Gold Standard - HMO
  • University of Michigan Health Plan HMO Exclusive Silver - HMO
  • University of Michigan Health Plan HMO Exclusive Silver Select Plus - HMO
  • University of Michigan Health Plan HMO Exclusive Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

YAIR ZUCKERMAN

Authorized Official Title
MANAGER
Authorized Official Phone
(773) 517-4777

Nursing Home Quality Information

The Centers for Medicare and Medicaid Services publishes the Nursing Home Compare star rating data to provide consumers an easy way to compare nursing home's quality of care.

Overall Quality Rating - 3 out of 5 stars - Average
The overall star rating is based on a nursing homes's performance on health inspections, staffing and quality measures.
Health Inspection RatingNot Available
The health inspection star rating is based on a nursing home’s weighted score from the most recent health inspections.
Quality Measures Rating - 3 out of 5 stars - Average
The quality measures star rating is based on data from a select set of clinical measures.
Long-Stay Quality Measures Rating - 4 out of 5 stars - Above Average
The long-stay quality of care rating is based on the quality of care delivered to long-term residents only.
Short-Stay Quality Measures Rating - 2 out of 5 stars - Below Average
The short-stay quality of care rating is based on the quality of care delivered to temporary residents only.
Staffing Rating - 1 out of 5 stars - Much Below Average
The staffing rating is based on the star rating based on the nursing home’s staffing hours for Registered Nurses (RNs), Licensed Practice Nurses (LPNs), Licensed Vocational Nurses (LVNs) and Nurse aides.
Nurse Aide Staffing Hours1.78 hours per resident per day
Nurse aide hours per resident per day. Higher number of hours are better.
RN Staffing Hours0.43 hours per resident per day
Resgistered nurse hours per resident per day. Higher number of hours are better.
RN Staff Turnover50%
Resgistered nurse turnover is the percentage of registered nursing staff who stop working at the facility within a given year.
Ownership TypeFor profit - Corporation
Is the facility private for profit, not-for profit or publicly owned.
Number of Certified Beds92 beds
Number of beds in the nursing home that have been approved by the federal government to participate in the Medicare or Medicaid programs.
Residents per Day77 residents
Average number of residents living in the facility per day.
Automatic Sprinkler SystemsYes
Does the facility have automatic sprinkler systems in all required areas?
Facility Reported Incidents7 incidents
Number of facility-reported incidents in the past 3 years. A lower number is better.
Substantiated Complaints9 complaints
Number of substantiated complaints in the past 3 years. A lower number is better.
Citations from Inspections0 citations after infection control inspection
Number of citations from infection control inspections in the past 3 years. A lower number is better.
Total Number of Penalties2 penalties from a serious health, fire safety or long-term unresolved citation
The Medicare program may impose penalties on a facilty when there's serious health or fire safety citations or if the facility fails to correct a citation for a long period of time.
Number of Fines2 fines
Toal number of fines in the last 3 years. A penalty can be a fine against the facility or denied payments from Medicare.
Amount of Fines$1644.50
Total monetary amount of fine imposed on the facility in the last 3 years.

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D0380760
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
AMY J. STANTON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Skld Wyoming to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for SKLD WYOMING

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1073002606
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2014300460
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 4 + 3 + 0 + 0 + 4 + 6 + 0 + 24 = 44
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 44 = 66

The NPI number 1073002606 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1376582254HEARTLAND - CRESTVIEW MI LLC
Organization
Skilled Nursing Facility625 36TH ST SW
WYOMING, MI 49509
(616) 531-0200
1568258002OPTALIS WYOMING OPCO, LLC
Organization
Skilled Nursing Facility625 36TH ST SW
WYOMING, MI 49509
(616) 975-2180

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073002606, enumerated in the NPI registry as an "organization" on May 09, 2018

The provider is located at 625 36th St Sw Wyoming, Mi 49509 and the phone number is (616) 531-0200

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Blue Care. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 23D0380760 for a "skilled nursing facility/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

The Overall Quality Rating for this nursing home is 3 out of 5 stars which is average when compared to other nursing homes. The overall star rating is based on a nursing homes's performance on health inspections, staffing and quality measures.

This NPI record was last updated on May 09, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.