NPIMap

Organization Active NPI

McLaren Health Management Group

Doing business as McLaren Home Health

  • Home Health Agency
  • Davison, MI
National Provider Identifier
1023059144
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MCLAREN HEALTH MANAGEMENT GROUP
Doing business as
McLaren Home Health
McLaren Homecare
McLaren Visiting Nurse & Hospice
Practice address
1515 Cal Dr
Davison, MI 48423-9016
Phone
(800) 862-3132
Fax
(810) 496-8685
NPI assigned
Jun 9, 2006
Last updated
Nov 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Steven Dale Loy
Title
Vice President/Cfo
Phone
(810) 496-8633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

1515 Cal Dr
Davison, MI 48423-9016

Mailing address

1515 Cal Dr
Davison, MI 48423-9016
Phone (800) 862-3132

Other identifiers 1

IdentifierTypeStateIssuer
154947541MedicaidMI

Other names 4

  • McLaren Home Health Doing business as
  • McLaren Homecare Doing business as
  • McLaren Visiting Nurse & Hospice Doing business as
  • Visiting Nurse Services of Michigan Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030109000009 MI Part A Provider - Home Health Agency 8628985215 Practice locations: Davison, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023059144. Details of each certification follow.

Home health agency certification: CCN 237010

Legal name
MCLAREN HEALTH MANAGEMENT GROUP
Doing business as
MCLAREN HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 1, 1966
Last certification
Apr 29, 2017
Ownership / control type
Proprietary
Organization structure
CorporationNon-profit
Incorporated
Oct 1, 1999 in MI
Enrollment address
1515 Cal Dr
Davison, MI 48423-9016

Other NPIs with the same Medicare PAC ID 12

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
McLaren Home HealthCCN 237010 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jul 1, 1966
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
McLaren Health Management Group21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michael a Ziccardi Individual Corporate DirectorBoard Member Jan 31, 2020
Deborah Leblanc Individual Corporate DirectorBoard Member Oct 17, 2020
Tom G Donaldson Individual Corporate DirectorBoard Member Jan 30, 2011
Wendy Dupuy Individual Corporate Director May 8, 2023
Robert L Norcross Individual Corporate DirectorBoard Member Dec 31, 2017
Barton Buxton Individual Corporate DirectorBoard Member Mar 31, 2012
Nancy Jenkins Individual Corporate DirectorBoard Member Oct 21, 2021
McLaren Health Care Corporation Organization, Grand Blanc, MI Corporation, Non-profit 5% Or Greater Direct Ownership Interest Sep 30, 1999 100%
Joseph a Sasiela Individual Corporate DirectorBoard Member Jan 30, 2010
David Mazurkiewicz Individual Corporate DirectorBoard Member Dec 1, 2022
Steven Loy Individual Corporate OfficerVP/Cfo Mar 30, 2012
W-2 Managing EmployeeVP/Cfo Mar 30, 2012

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 58

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 58

Practitioners & affiliated clinicians

Affiliated clinicians 42

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 42

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668729600000",
    "number": "1023059144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 CAL DR",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484239016",
            "telephone_number": "800-862-3132",
            "fax_number": "810-496-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 CAL DR",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484239016",
            "telephone_number": "800-862-3132",
            "fax_number": "810-496-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLAREN HEALTH MANAGEMENT GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A",
        "authorized_official_last_name": "LOY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "VICE PRESIDENT/CFO",
        "authorized_official_telephone_number": "810-496-8633"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154947541",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McLaren Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "McLaren Homecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "McLaren Visiting Nurse & Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Visiting Nurse Services of Michigan",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Davison, MI

Sources for this page

Verify at the official NPI Registry.