Sanilac County

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

768510 Issued in MI

Legal business name

SANILAC COUNTY

Practice address

137 N Elk St
Sandusky, MI 48471-1129

Phone

(810) 648-3017

Fax

(810) 648-4912

NPI assigned

Jul 5, 2005

Last updated

Jan 25, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

SANILAC COUNTYAs reported in NPPES

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

Authorized official

Name

Mr. Kim K Klida

Title

Administrator

Phone

(810) 648-3017

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194722165. Details of each certification follow.

• CCN 235157 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 235157

Legal name

SANILAC COUNTY

Doing business as

SANILAC MEDICAL CARE FACILITY

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Aug 15, 1968

Last certification

Jul 1, 2024

Beds

104

Ownership / control type

County

Organization structure

GovernmentNon-profit

Enrollment address

137 N Elk St
Sandusky, MI 48471-1129

Nursing home name

SANILAC MEDICAL CARE FACILITY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Sanilac County

  dba Sanilac County Health Department

  • Public Health or Welfare Agency
  • Sandusky, MI
  • NPI 1427082510

  3173656170

  Same PAC ID

Listed as

Sanilac Medical Care FacilityCCN 235157 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

4 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

Government - County

Certified

Aug 15, 1968

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10475.9 residents per day on average

Penalties (3 years)

1Fines totaling $0

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

Part of

Sanilac County Health D

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.

Owners & managing parties with NPI records 2

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

• Nick Buttar, M.D.

  • Family Medicine Physician
  • Burton, MI
  • NPI 1326085861

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Sanilac County

  dba Sanilac County Health Department

  • Public Health or Welfare Agency
  • Sandusky, MI
  • NPI 1427082510

  5% Or Greater Direct Ownership Interest, Adp 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.

• Nicole Miller

  • Occupational Therapist
  • Deckerville, MI
  • NPI 1164901971
  NPD
• Nick Buttar, M.D.

  • Family Medicine Physician
  • Burton, MI
  • NPI 1326085861
  NPD (past)
• Jaime F Tan, MD

  • General Practice Physician
  • Harbor Beach, MI
  • NPI 1346235207
  NPD (past)

Affiliated clinicians 2

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

• Nick Buttar, M.D.

  • Family Medicine Physician
  • Burton, MI
  • NPI 1326085861

  Nursing home

  Care Compare affiliation
• Jaime F Tan, MD

  • General Practice Physician
  • Harbor Beach, MI
  • NPI 1346235207

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1194722165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 N ELK ST",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484711129",
            "telephone_number": "810-648-3017",
            "fax_number": "810-648-4912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 N ELK ST",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484711129",
            "telephone_number": "810-648-3017",
            "fax_number": "810-648-4912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANILAC COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANILAC COUNTY",
        "enumeration_date": "2005-07-05",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "KLIDA",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "810-648-3017",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "768510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2085517",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Summer Sanchez
• Sandusky Chiropractic Center PLLC
• Sandusky Dental Care, PLC (Sandsuky Dental Care)
• Sandusky Dental PLLC (Sanilac Smiles Dental Care)
• Sandusky Surgical PLLC
• Sanilac County (Sanilac County Health Department)
• Sanilac County (Sanilac County Health Department)
• Sanilac County Community Mental Health
• Sanilac County Community Mental Health Authority
• Sanilac County Community Mental Health Authority

• Skilled Nursing Facility in Sandusky, MI
• Providers in Sandusky, 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 Jan 25, 2018; 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.