OrganizationActive
Great Lakes Specialty Hospital - Oak LLC
NPI 1609800614 · Long Term Care Hospital · Grand Rapids, MI
Great Lakes Specialty Hospital - Oak LLC is a Long Term Care Hospital organization in Grand Rapids, MI (NPI 1609800614).
Provider details
- NPI number
- 1609800614
- Entity type
- Organization
- Primary specialty
- Long Term Care HospitalHospitals
- Organization subpart
- No
- Authorized official
- Michael Tarvin, Vice President(717) 972-1100
- License
- 610052 (MI)
Specialties & taxonomies
Hospitals
Profile Score
Detailed profile(91/100 index)
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
200 Jefferson Ave Se
5th Floor
Grand Rapids, MI 49503-4502
Phone: (231) 777-6202
Fax: (231) 777-6207
Street-level locationGet directions
Mailing address
4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Other names (DBA / former)
- Doing business as
- Select Specialty Hospital - Grand Rapids
Registry dates
- Enumerated
- 2006-07-10
- Last updated
- 2015-09-28
Frequently asked questions
- What is Great Lakes Specialty Hospital - Oak LLC's NPI number?
- Great Lakes Specialty Hospital - Oak LLC's National Provider Identifier (NPI) is 1609800614, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lakes Specialty Hospital - Oak LLC?
- Great Lakes Specialty Hospital - Oak LLC is classified in the NPPES registry as Long Term Care Hospital (Hospitals).
- Where is Great Lakes Specialty Hospital - Oak LLC located?
- Great Lakes Specialty Hospital - Oak LLC's practice location on file with NPPES is 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502.
- What is Great Lakes Specialty Hospital - Oak LLC's phone number?
- The practice phone number listed in the NPPES registry for Great Lakes Specialty Hospital - Oak LLC is (231) 777-6202.
- Who is the authorized official for Great Lakes Specialty Hospital - Oak LLC?
- The authorized official listed on Great Lakes Specialty Hospital - Oak LLC's NPPES record is Michael Tarvin, Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lakes Specialty Hospital - Oak LLC's NPI active?
- Yes — Great Lakes Specialty Hospital - Oak LLC's NPI (1609800614) is active in the NPPES registry as of the last update on 2015-09-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.