Organization Active NPI

Bishop Noa Home for Senior Citizens

  • Skilled Nursing Facility
  • Escanaba, MI
National Provider Identifier
1194711408
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
214010 Issued in MI
Legal business name
BISHOP NOA HOME FOR SENIOR CITIZENS
Practice address
2900 3Rd Ave S
Escanaba, MI 49829-1237
Phone
(906) 786-5810
Fax
(906) 786-5372
NPI assigned
Sep 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Authorized official

Name
Mrs. Elsie May Stafford
Title
Administrator
Phone
(906) 786-5810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 214010 MI Primary

Addresses

Primary practice location

2900 3Rd Ave S
Escanaba, MI 49829-1237

Mailing address

2900 3Rd Ave S
Escanaba, MI 49829-1237
Phone (906) 786-5810

Other identifiers 1

IdentifierTypeStateIssuer
2080468MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090730000063 MI Part A Provider - Skilled Nursing Facility 0941353585 Practice locations: Escanaba, MI

Skilled nursing facility certification: CCN 235651

Legal name
BISHOP NOA HOME FOR SENIOR CITIZENS
Doing business as
BISHOP NOA HOME FOR SENIOR CITIZENS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 2010
Last certification
Mar 6, 2025
Beds
81
Ownership / control type
Other Nonprofit
Organization structure
CorporationNon-profit
Enrollment address
2900 3Rd Ave S
Escanaba, MI 49829-1237
Nursing home name
BISHOP NOA HOME FOR SENIOR CITIZENS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Bishop Noa Home for Senior CitizensCCN 235651 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
Apr 1, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8164.7 residents per day on average

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
23D0714305Bishop Noa Home2900 3Rd Avenue South, Escanaba, MI 49829Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Jamie Lafave Individual Corporate Officer Dec 31, 2018
Operational/Managerial Control Dec 31, 2018
Adp of the SNF Sep 22, 2025
Sisters of St. Paul de Chartres Organization, Marquette, MI Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 1966 100%
Susan Beckon Individual Corporate Officer Jul 1, 2019
Managing Control - Governing Body Jul 1, 2019
Timothy Ferguson Individual Corporate Officer Jul 1, 2017
Managing Control - Governing Body Jul 1, 2017
Mary Ann Laurin Individual Corporate Officer Jul 1, 2019
Managing Control - Governing Body Jul 1, 2019
Karen Berbohm Individual Corporate Officer Jul 1, 2019
Managing Control - Governing Body Jul 1, 2019
Gloria Schultz Individual Corporate Officer Jul 13, 2009
Managing Control - Governing Body Jul 13, 2009
Nicole L Linder Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF Sep 22, 2025
Raymond Theoret Individual Corporate Director Jul 13, 2009
Managing Control - Governing Body Jul 13, 2009

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 5

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

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": "1390867200000",
    "number": "1194711408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 3RD AVE S",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498291237",
            "telephone_number": "906-786-5810",
            "fax_number": "906-786-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 3RD AVE S",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498291237",
            "telephone_number": "906-786-5810",
            "fax_number": "906-786-5372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BISHOP NOA HOME FOR SENIOR CITIZENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "STAFFORD",
        "authorized_official_first_name": "ELSIE",
        "authorized_official_middle_name": "MAY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "906-786-5810",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "214010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2080468",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Escanaba, MI

Sources for this page

Verify at the official NPI Registry.