Active NPI
Schoolcraft Medical Care Facility
- Skilled Nursing Facility
- Manistique, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 778510
- Legal business name
- SCHOOLCRAFT MEDICAL CARE FACILITY
- Practice address
- 520 Main St
Manistique, MI 49854-1522 - Phone
- (906) 341-6921
- Fax
- (906) 341-6213
- NPI assigned
- Jul 7, 2005
- Last updated
- Dec 20, 2016
- 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
- Tonya Sue Leik
- Title
- Administrator
- Phone
- (906) 341-6921
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 778510 | MI | Primary |
Addresses
Primary practice location
520 Main St
Manistique, MI 49854-1522
Mailing address
520 Main St
Manistique, MI 49854-1522
Phone (906) 341-6921
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2085203 | 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 |
|---|---|---|---|---|
| O20041012001543 | MI | Part A Provider - Skilled Nursing Facility | 6002806866 | Practice locations: Manistique, MI |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1356348114. Details of each certification follow.
Skilled nursing facility certification: CCN 235147
- Legal name
- SCHOOLCRAFT MEDICAL CARE FACILITY
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Jan 1, 1968
- Last certification
- Jan 9, 2025
- Beds
- 85
- Ownership / control type
- County
- Organization structure
- Government
- Enrollment address
- 520 Main St
Manistique, MI 49854-1522 - Nursing home name
- SCHOOLCRAFT MEDICAL CARE FACILITY
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Schoolcraft Medical Care Facility
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Government - County
- Certified
- Jan 1, 1968
- Medicare certification status
- Active
- Certified beds
- 85
- Penalties (3 years)
- 3
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 |
|---|---|---|---|
| 23D2048390 | Schoolcraft County Medical Care Facility | Certificate of waiver | Oct 15, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| Alecia Maxine Goudreau | Operational/Managerial Control | Mar 29, 2023 | 100% |
| Adp of the SNF | Apr 1, 2025 | ||
| Schoolcraft County | 5% Or Greater Direct Ownership Interest | Jan 1, 1968 | 100% |
| Adp of the SNF | Jan 1, 1968 | ||
| Uchebike N Nwankwo | Operational/Managerial Control | May 5, 2025 | |
| Adp of the SNF | Dec 31, 2025 | ||
| Kendra Lander | Operational/Managerial Control | Jul 13, 2015 | |
| Adp of the SNF | Jul 13, 2015 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Adolescent Medicine (Internal Medicine) Physician
- Lowell, MI
- NPI 1962690073
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
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.
-
- Internal Medicine Physician
- Sterling, MI
- NPI 1285667337
-
- Adolescent Medicine (Internal Medicine) Physician
- Lowell, MI
- NPI 1962690073
-
- Family Medicine Physician
- Findlay, OH
- NPI 1013970326
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Adolescent Medicine (Internal Medicine) Physician
- Lowell, MI
- NPI 1962690073
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1482192000000",
"number": "1356348114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 MAIN ST",
"city": "MANISTIQUE",
"state": "MI",
"postal_code": "498541522",
"telephone_number": "906-341-6921",
"fax_number": "906-341-6213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 MAIN ST",
"city": "MANISTIQUE",
"state": "MI",
"postal_code": "498541522",
"telephone_number": "906-341-6921",
"fax_number": "906-341-6213"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCHOOLCRAFT MEDICAL CARE FACILITY",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-07",
"last_updated": "2016-12-20",
"status": "A",
"authorized_official_last_name": "LEIK",
"authorized_official_first_name": "TONYA",
"authorized_official_middle_name": "SUE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "906-341-6921"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MI",
"license": "778510",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2085203",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manistique, MI
- Sault Tribe of Chippewa Indians (Sault Ste Marie Tribal Health Pharmacy)
- Sault Tribe of Chippewa Indians (Manistique Tribal Health Center)
- David Schoenow, MD
- James Gordon Schone, D.C.
- Schone's Chiropractic PC
- Schoolcraft Memorial Homecare and Hospice
- Schoolcraft Memorial Hospital (Schoolcraft Memorial HomeCare and Hospice)
- Schoolcraft Memorial Hospital (Schoolcraft Memorial Hospital Rural Health Clinic)
- Schoolcraft Memorial Hospital
- Schoolcraft Memorial Hospital
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.