Active NPI
Bishop Noa Home for Senior Citizens
- Skilled Nursing Facility
- Escanaba, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 214010
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2080468 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Citizens
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Other
- Certified
- Apr 1, 2010
- Medicare certification status
- Active
- Certified beds
- 81
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D0714305 | Bishop Noa Home | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Jamie Lafave | Corporate Officer | Dec 31, 2018 | |
| Operational/Managerial Control | Dec 31, 2018 | ||
| Adp of the SNF | Sep 22, 2025 | ||
| Sisters of St. Paul de Chartres | 5% Or Greater Direct Ownership Interest | Jan 1, 1966 | 100% |
| Susan Beckon | Corporate Officer | Jul 1, 2019 | |
| Managing Control - Governing Body | Jul 1, 2019 | ||
| Timothy Ferguson | Corporate Officer | Jul 1, 2017 | |
| Managing Control - Governing Body | Jul 1, 2017 | ||
| Mary Ann Laurin | Corporate Officer | Jul 1, 2019 | |
| Managing Control - Governing Body | Jul 1, 2019 | ||
| Karen Berbohm | Corporate Officer | Jul 1, 2019 | |
| Managing Control - Governing Body | Jul 1, 2019 | ||
| Gloria Schultz | Corporate Officer | Jul 13, 2009 | |
| Managing Control - Governing Body | Jul 13, 2009 | ||
| Nicole L Linder | Operational/Managerial Control | Jan 1, 2024 | |
| Adp of the SNF | Sep 22, 2025 | ||
| Raymond Theoret | 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.
-
- Family Medicine Physician
- Iron Mountain, MI
- NPI 1700871159
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Iron Mountain, MI
- NPI 1700871159
Affiliated clinicians 5
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Miami, FL
- NPI 1245764976
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.