Lake County Care Center, Inc.
Organization Active NPI Skilled Nursing Facility · Baldwin, MI
NPI 1073509261 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1073509261
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- LAKE COUNTY CARE CENTER, INC.
- Practice address
- 600 Denmark St
Baldwin, MI 49304-7500 - Phone
- (231) 745-4648
- Fax
- (231) 745-3724
- NPI assigned
- Sep 22, 2005
- Organization subpart
- No
Authorized official
- Name
- Jeff Schade
- Title
- Ceo
- Phone
- (989) 588-9928
Owners & managing parties with NPI records 2
-
Shelly Jane Thompson, CRNA
Facilities with the same owner 8
Practitioners 6
-
Bradley Bliss, PAC
-
Lyni Marie Nowak, FNP
-
Daniel R Smalley, DO
-
Raymond D Tracy, D.O.
-
Jordan Warnsholz, PA
Medicare Care Compare: Nursing home
- Listed as
- Grand Oaks Nursing Center
- 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
- Active
- Certified beds
- 79 · 62.2 residents per day on average
- Chain
- The Peplinski Group
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D0712433 | Grand Oaks Nursing Center | Certificate of waiver | Jan 4, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
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
- Corporation · Proprietary
- 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
All disclosed owners & managing parties 16
| Name | Role | Since | Share |
|---|---|---|---|
| Gayle Holbrook |
Operational/Managerial Control | Nov 4, 2021 | |
| Adp of the SNF | Nov 4, 2021 | ||
| Plante & Moran PLLC |
Operational/Managerial Control | Jan 1, 2012 | |
| Adp of the SNF | Apr 10, 2025 | ||
| Peplinksi Holdings, Inc. |
5% Or Greater Direct Ownership Interest | Jan 1, 2012 | 100% |
| Tamara a Schade |
5% Or Greater Indirect Ownership Interest | Jan 1, 2012 | 10% |
| Todd J Peplinski |
5% Or Greater Indirect Ownership Interest | Jan 1, 2012 | 10% |
| Corporate Officer |
Jan 1, 2012 | ||
| Corporate Director |
Jan 1, 2012 | ||
| Ricky L Ackerman |
5% Or Greater Indirect Ownership Interest | Jan 1, 2012 | 10% |
| Corporate Officer |
Jan 1, 2012 | ||
| Operational/Managerial Control | Jan 1, 2012 | ||
| Adp of the SNF | Jan 1, 2012 | ||
| Shelly J Thompson |
5% Or Greater Indirect Ownership Interest | Jan 1, 2012 | 10% |
| Maciej Solarewicz |
Operational/Managerial Control | Oct 1, 2023 | |
| Adp of the SNF | Oct 1, 2023 | ||
| Kathy Winkels |
Operational/Managerial Control | Jul 6, 2016 | |
| Adp of the SNF | Jul 6, 2016 | ||
| Amy J Ackerman |
5% Or Greater Indirect Ownership Interest | Jan 1, 2012 | 10% |
| Michael P Baumgarten |
5% Or Greater Indirect Ownership Interest | Jan 1, 2012 | 10% |
| Therese M Baumgarten |
5% Or Greater Indirect Ownership Interest | Jan 1, 2012 | 10% |
| Brian D Thompson |
5% Or Greater Indirect Ownership Interest | Jan 1, 2012 | 10% |
| Corporate Officer |
Jan 1, 2012 | ||
| Corporate Director |
Jan 1, 2012 | ||
| Operational/Managerial Control | Jan 1, 2012 | ||
| Adp of the SNF | Jan 1, 2012 | ||
| Sheli L Peplinski |
5% Or Greater Indirect Ownership Interest | Jan 1, 2012 | 10% |
| Jeffery R Schade |
5% Or Greater Indirect Ownership Interest | Jan 1, 2012 | 10% |
| Corporate Officer |
Jan 1, 2012 | ||
| Corporate Director |
Jan 1, 2012 | ||
| Operational/Managerial Control | Jan 1, 2012 | ||
| Adp of the SNF | Jan 1, 2012 | ||
| The Peplinski Group Inc |
Adp of the SNF | Mar 6, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040217001038 | MI | Part a Provider - Skilled Nursing Facility | 7113812371 | Practice locations: Baldwin, MI |
National Provider Directory
Locations
5565 S M 37
Baldwin, MI 49304
Phone (231) 745-4648
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2151229 | Medicaid | MI |
Other names
- grand oaks nursing center
Other providers in Baldwin, MI
- Audrey Lynn Keller
- Mary Jo Kendall
- Susan Marie Koger
- Matthew David Krawczak
- Robin Kuchta
- Jessica Ann Lee
- Samantha N Lopez
- Andrew Marfey
- Sasha-Gay Haynes McBride
- Andrew Goldin Mintzer
All providers in Baldwin, MI · Skilled Nursing Facility in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.