Eastwood Nursing Center of Negaunee, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

524041 Issued in MI

Legal business name

EASTWOOD NURSING CENTER OF NEGAUNEE, INC.

Practice address

900 Maas St
Negaunee, MI 49866-1502

Phone

(906) 475-7500

Fax

(906) 475-4570

NPI assigned

Aug 23, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Greg Todd Bartlett

Title

Accountant

Phone

(906) 475-7500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eastwood Nursing Home Other name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174515407. Details of each certification follow.

• CCN 235554 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 235554

Legal name

EASTWOOD NURSING CENTER OF NEGAUNEE, INC.

Doing business as

EASTWOOD NURSING CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Sep 28, 1994

Last certification

Apr 3, 2025

Beds

100

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Incorporated

Aug 20, 1992 in MI

Enrollment address

900 Maas Street
Negaunee, MI 49866-1502

Nursing home name

EASTWOOD NURSING CENTER

Listed as

Eastwood Nursing CenterCCN 235554 · All quality measures

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

4 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Sep 28, 1994

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10091.0 residents per day on average

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

All disclosed owners & managing parties 14

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

Owners & managing parties with NPI records 1

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

• Wayne Bruce Carlson, MD

  • Family Medicine Physician
  • Ishpeming, MI
  • NPI 1790846335

  Adp of the SNF, Operational/Managerial Control, Trustee of the SNF

  CMS ownership

Practitioners 3

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.

• Wayne Bruce Carlson, MD

  • Family Medicine Physician
  • Ishpeming, MI
  • NPI 1790846335
  NPD (past)
• Catherine A Kroll, D.O.

  • Family Medicine Physician
  • Gwinn, MI
  • NPI 1043260995
  NPD (past)
• Elizabeth Tuma

  • Family Medicine Physician
  • Marquette, MI
  • NPI 1801416367
  NPD (past)

Affiliated clinicians 3

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

• Catherine A Kroll, D.O.

  • Family Medicine Physician
  • Gwinn, MI
  • NPI 1043260995

  Nursing home

  Care Compare affiliation
• Sarah Naracon

  • Family Medicine Physician
  • Ishpeming, MI
  • NPI 1275270100

  Nursing home

  Care Compare affiliation
• Elizabeth Tuma

  • Family Medicine Physician
  • Marquette, MI
  • NPI 1801416367

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174515407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MAAS ST",
            "city": "NEGAUNEE",
            "state": "MI",
            "postal_code": "498661502",
            "telephone_number": "906-475-7500",
            "fax_number": "906-475-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MAAS ST",
            "city": "NEGAUNEE",
            "state": "MI",
            "postal_code": "498661502",
            "telephone_number": "906-475-7500",
            "fax_number": "906-475-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTWOOD NURSING CENTER OF NEGAUNEE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARTLETT",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "906-475-7500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "524041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09722",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastwood Nursing Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Derrick Anthony Depetro, BS, CADC
• Jamie-Ann Dieterle, LLMSW
• Corey Matthew Doan
• Nicole Anne Dorie
• Abby Duvall
• Shana Jane Epps
• Danny Lowell Forrester, PHD, LMSW
• Kaitlin Joy Fortin
• Laura R Gauthier, RD
• Genesis

• Skilled Nursing Facility in Negaunee, MI
• Providers in Negaunee, MI by specialty
• Skilled Nursing Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.