NPIMap

Organization Active NPI

Lake County Care Center, Inc.

Doing business as grand oaks nursing center

  • Skilled Nursing Facility
  • Baldwin, MI
National Provider Identifier
1073509261
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LAKE COUNTY CARE CENTER, INC.
Doing business as
grand oaks nursing center
Practice address
600 Denmark St
Baldwin, MI 49304-7500
Phone
(231) 745-4648
Fax
(231) 745-3724
NPI assigned
Sep 22, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jeff Schade
Title
Ceo
Phone
(989) 588-9928

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

600 Denmark St
Baldwin, MI 49304-7500

Mailing address

600 Denmark St
Baldwin, MI 49304-7500
Phone (231) 745-4648

Other names 1

  • grand oaks nursing center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040217001038 MI Part A Provider - Skilled Nursing Facility 7113812371 Practice locations: Baldwin, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073509261. Details of each certification follow.

Skilled nursing facility certification: CCN 235499

Legal name
LAKE COUNTY CARE CENTER, INC.
Doing business as
GRAND OAKS NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 11, 1990
Last certification
Mar 20, 2025
Beds
79
Ownership / control type
Individual
Organization structure
CorporationProprietary
Incorporated
Mar 28, 1979 in MI
Enrollment address
600 Denmark St
Baldwin, MI 49304-7500
Nursing home name
GRAND OAKS NURSING CENTER
Affiliated entity
THE PEPLINSKI GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Grand Oaks Nursing CenterCCN 235499 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Dec 11, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7962.2 residents per day on average
Chain
The Peplinski Group10 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0712433Grand Oaks Nursing Center600 Denmark Street, Baldwin, MI 49304Certificate of waiverJan 4, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Gayle Holbrook Individual Operational/Managerial Control Nov 4, 2021
Adp of the SNF Nov 4, 2021
Plante & Moran PLLC Organization, Southfield, MI LLC, Consulting firm Operational/Managerial Control Jan 1, 2012
Adp of the SNF Apr 10, 2025
Peplinksi Holdings, Inc. Organization, Farwell, MI Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2012 100%
Tamara a Schade Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2012 10%
Todd J Peplinski Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2012 10%
Corporate OfficerSecretary Jan 1, 2012
Corporate DirectorDirector Jan 1, 2012
Ricky L Ackerman Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2012 10%
Corporate OfficerExecutive Vice President Jan 1, 2012
Operational/Managerial Control Jan 1, 2012
Adp of the SNF Jan 1, 2012
Shelly J Thompson Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2012 10%
Maciej Solarewicz Individual Operational/Managerial Control Oct 1, 2023
Adp of the SNF Oct 1, 2023
Kathy Winkels Individual Operational/Managerial Control Jul 6, 2016
Adp of the SNF Jul 6, 2016
Amy J Ackerman Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2012 10%
Michael P Baumgarten Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2012 10%
Therese M Baumgarten Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2012 10%
Brian D Thompson Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2012 10%
Corporate OfficerTreasurer, Assistant Secretary Jan 1, 2012
Corporate DirectorDirector Jan 1, 2012
Operational/Managerial Control Jan 1, 2012
Adp of the SNF Jan 1, 2012
Sheli L Peplinski Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2012 10%
Jeffery R Schade Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2012 10%
Corporate OfficerPresident / Ceo Jan 1, 2012
Corporate DirectorDirector Jan 1, 2012
Operational/Managerial Control Jan 1, 2012
Adp of the SNF Jan 1, 2012
The Peplinski Group Inc Organization, Farwell, MI Corporation, For-profit, Chain home office Adp of the SNF Mar 6, 2025

Owners & managing parties with NPI records 2

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

Facilities with the same owner 8

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

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073509261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 DENMARK ST",
            "city": "BALDWIN",
            "state": "MI",
            "postal_code": "493047500",
            "telephone_number": "231-745-4648",
            "fax_number": "231-745-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 DENMARK ST",
            "city": "BALDWIN",
            "state": "MI",
            "postal_code": "493047500",
            "telephone_number": "231-745-4648",
            "fax_number": "231-745-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE COUNTY CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHADE",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "989-588-9928"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "grand oaks nursing center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baldwin, MI

Sources for this page

Verify at the official NPI Registry.