MRS. LISA ANN MERVENNE O.T.R.
NPI 1922296730
Skilled Nursing Facility in Grand Rapids, MI

Active since October 05, 2007
2520 LAKE MICHIGAN DR NW, GRAND RAPIDS, MI 49504(616) 735-6050 Get Directions Write a Review

NPPES record last updated: October 5, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Lisa Ann Mervenne O.t.r. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LISA ANN MERVENNE O.T.R. (NPI 1922296730) is an individual skilled nursing facility provider in Grand Rapids, Michigan, licensed in Michigan (5201000452) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1922296730
Entity TypeIndividualFemale
Primary Taxonomy314000000X
Provider Legal NameMRS. LISA ANN MERVENNECredential: O.T.R.
Location Address2520 LAKE MICHIGAN DR NWGrand Rapids, MI 49504-4696
Mailing Address4075 Silvergrass Dr NeGrand Rapids, MI 49525-9552 · (616) 447-0102
Sole ProprietorYes
Enumeration DateOctober 5, 2007
NPI 1922296730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MI · 5201000452
Definition
(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.
2520 LAKE MICHIGAN DR NW, Grand Rapids, MI 49504

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
2520 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI 49504
Physical Therapy Assistant
2520 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI 49504

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Mervenne's NPI number?

The NPI number for Lisa Mervenne is 1922296730. It was assigned to this individual provider in the NPPES registry on October 5, 2007.

Where is Lisa Mervenne located?

Lisa Mervenne practices at 2520 Lake Michigan Dr NW, Grand Rapids, MI 49504. The listed phone number is (616) 735-6050.

What is Lisa Mervenne's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Lisa Mervenne was last updated on October 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.