LAKE COUNTY CARE CENTER, INC. (NPI# 1073509261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073509261 |
| Entity Type | Organization |
| Organization Name | LAKE COUNTY CARE CENTER, INC. |
| Other Organization Name | GRAND OAKS NURSING CENTER |
| Practice Address |
600 Denmark St Baldwin MI 49304-7500 |
| Practice Telephone | 2317454648 |
| Practice Fax Number | 2317453724 |
| Mailing Telephone | 2317454648 |
| Mailing Fax Number | 2317453724 |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JEFF SCHADE (CEO) |
| Authorized Official Telephone | 9895889928 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2151229 | 05 |
| Other Name | Type Code |
|---|---|
| grand oaks nursing center | Doing Business As Name - Organization |
| Street Address |
600 DENMARK ST |
| City | BALDWIN |
| State | MI |
| Zip Code | 49304-7500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669941183 | Kari Rae Hallead | Occupational Therapy Assistant | 600 Denmark St, Baldwin, MI 49304-7500 | 2018-11-14 |
| 1821573494 | Ashley L Gehring | Occupational Therapy Assistant | 600 Denmark St, Baldwin, MI 49304-7500 | 2018-09-30 |
| 1649755653 | Ashley Zika | Occupational Therapy Assistant | 600 Denmark St, Baldwin, MI 49304-7500 | 2018-09-26 |
| 1427535327 | Michelle Amanda Nagel | Occupational Therapist | 600 Denmark St, Baldwin, MI 49304-7500 | 2018-07-24 |
| 1902395460 | Deborah S Fild | Physical Therapist | 600 Denmark St, Baldwin, MI 49304-7500 | 2018-05-09 |
| 1871649764 | Jeffrey Allan Bates | Pharmacist | 600 Denmark St, Baldwin, MI 49304-7500 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154592285 | Professional Dental Associates PC | Dentist | 888 Michigan Ave, Baldwin, MI 49304 | 2008-03-17 |
| 1437250941 | Pamela Sue Alley | Nurse Practitioner | 1234 Washington Ave, Vision of Health, Baldwin, MI 49304 | 2006-09-26 |
| 1902308463 | Baldwin Family Health Care | Clinic/Center | 1101 Washington St, Baldwin, MI 49304 | 2018-03-01 |
| 1528499233 | Lisa Joan West | Nurse Practitioner | 1615 Michigan Ave, Baldwin, MI 49304 | 2013-12-05 |
| 1578713798 | Tracy Lynne Moody | Nurse Practitioner | 1615 Michigan Ave, Baldwin, MI 49304 | 2008-09-24 |
| 1801016613 | Baldwin Family Health Care | Clinic/Center | 525 4th St, Baldwin, MI 49304 | 2007-04-26 |
| 1932248143 | John Carl Hodges | Counselor | 1615 Michigan Ave, Baldwin, MI 49304 | 2007-02-05 |
| 1467468819 | Maurice James Sutton | Dentist | 1615 Michigan Ave, Balduoin, MI 49304 | 2006-07-31 |
| 1376559724 | Oliver D Grin | Neurological Surgery | 1615 Michigan Ave, Baldwin, MI 49304 | 2006-07-31 |
| 1508891813 | Stephen Kozak | Dentist | 1615 Michigan Ave, Baldwin, MI 49304 | 2006-07-12 |
| Find all providers in zip 49304 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902853427 | The Oaks - Scenic View Skilled Nursing, LLC | Skilled Nursing Facility | 205 Peach Orchard Rd, Baldwin, GA 30511-1803 | 2006-05-29 |
| 1174510259 | Victory Lake Operations, LLC | Skilled Nursing Facility | 958 Church St, Baldwin, NY 11510-4257 | 2005-10-04 |
| 1477551141 | Baldwin Care Center, Inc. | Skilled Nursing Facility | 640 Elm St, Baldwin, WI 54002-9358 | 2005-07-07 |
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| 1336795244 | Ishpeming Nursing & Rehab Center, LLC | Skilled Nursing Facility | 435 Rd Pl, Ishpeming, MI 49849 | 2019-08-15 |
| 1669965299 | Wellbridge of Clarkston, LLC | Skilled Nursing Facility | 5655 Clarkston Road, Independence Township, MI 48348 | 2018-06-08 |
| 1104318112 | Wellbridge At Genesys Health Park, LLC | Skilled Nursing Facility | 3139 East Baldwin Road, Grand Blanc, MI 48439 | 2018-06-05 |
| 1427549955 | Mission Point of Detroit, LLC | Skilled Nursing Facility | 2102 Orleans, Detroit, MI 48207 | 2018-05-21 |
| 1912496324 | Regency At Independence Township, LLC | Skilled Nursing Facility | 6211 Stonewood Drive, Clarkston, MI 48346 | 2018-05-02 |
| 1972092344 | Regency At Grand Haven, LLC | Skilled Nursing Facility | 17049 Comstock St, Grand Haven, MI 49417-7903 | 2018-05-01 |
| 1093214173 | Sana Nasir Inc. | Skilled Nursing Facility | 13840 King Rd, Riverview, MI 48193 | 2018-02-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.