Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Great Lakes Specialty Hospital - Oak LLC

Organization Long Term Care Hospital · NPI 1609800614

Great Lakes Specialty Hospital - Oak LLC is a Long Term Care Hospital in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

200 Jefferson Ave SE 5th Fl
Grand Rapids, MI 49503-4502
Phone: (231) 777-6202
Fax: (231) 777-6207
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Long Term Care Hospital (primary) Taxonomy 282E00000X · Licence 610052 (MI)

Record details

NPI number1609800614
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Tarvin — Vice President · (717) 972-1100
Other names Select Specialty Hospital - Grand Rapids
NPI enumeratedJuly 10, 2006
Last updated in NPPESSeptember 28, 2015
Mailing address4714 Gettysburg Rd, Legal Dept, Mechanicsburg, PA 17055-4325

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