Clark Retirement Community, Inc.
NPI 1265421051 · Skilled Nursing Facility · Grand Rapids, MI
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Clark Retirement Community, Inc. is a Skilled Nursing Facility organization in Grand Rapids, MI (NPI 1265421051).
Provider details
- NPI number
- 1265421051
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Brian Pangle, President/Ceo(616) 452-1568
- License
- 235401 (MI)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-10-14
- Last updated
- 2015-04-07
Frequently asked questions
- What is Clark Retirement Community, Inc.'s NPI number?
- Clark Retirement Community, Inc.'s National Provider Identifier (NPI) is 1265421051, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clark Retirement Community, Inc.?
- Clark Retirement Community, Inc. is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Clark Retirement Community, Inc. located?
- Clark Retirement Community, Inc.'s practice location on file with NPPES is 1551 Franklin St Se, Grand Rapids, MI 49506.
- What is Clark Retirement Community, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Clark Retirement Community, Inc. is (616) 452-1568.
- Does Clark Retirement Community, Inc. accept Medicare?
- Clark Retirement Community, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Clark Retirement Community, Inc.?
- The authorized official listed on Clark Retirement Community, Inc.'s NPPES record is Brian Pangle, President/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clark Retirement Community, Inc.'s NPI active?
- Yes — Clark Retirement Community, Inc.'s NPI (1265421051) is active in the NPPES registry as of the last update on 2015-04-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.