NPIMap

Organization Active NPI

Michigan Masonic Home

  • Skilled Nursing Facility
  • Alma, MI
National Provider Identifier
1376545533
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
294040 Issued in MI
Legal business name
MICHIGAN MASONIC HOME
Practice address
1200 Wright Ave
Alma, MI 48801-1133
Phone
(989) 463-3141
Fax
(989) 466-2796
NPI assigned
Jun 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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

Authorized official

Name
Gregory Mapes, PRESIDENT, HOME BOAR
Title
President
Phone
(989) 463-4285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 294040 MI Primary

Addresses

Primary practice location

1200 Wright Ave
Alma, MI 48801-1133

Mailing address

1200 Wright Ave
Alma, MI 48801-1133
Phone (989) 463-3141

Other identifiers 2

IdentifierTypeStateIssuer
2080833MedicaidMI
09597OtherMIBCBS OF MICHIGAN

Other names 1

  • Masonic Pathways Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040505001678 MI Part A Provider - Skilled Nursing Facility 8628963311 1 other NPI on this enrollment
Practice locations: Alma, MI

Skilled nursing facility certification: CCN 235020

Legal name
MICHIGAN MASONIC HOME
Doing business as
MASONIC PATHWAYS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Dec 18, 2024
Beds
204
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Enrollment address
1200 Wright Ave
Alma, MI 48801-1133
Nursing home name
MICHIGAN MASONIC HOME

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Michigan Masonic HomeCCN 235020
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
20493.5 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 23

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

NameRoleSinceShare
John P Groves Individual Corporate DirectorTrustee Jul 1, 2022
Omar H Flores Individual Corporate DirectorTrustee Jul 1, 2021
Robin Whitmore Individual Corporate OfficerCeo Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Organization, Toledo, OH Adp of the SNF Dec 29, 2025
Organization, Toledo, OH Adp of the SNF Dec 29, 2025
Organization, Boston, MA Holding company, Consulting firm Adp of the SNF Dec 29, 2025
Concept Rehab, Inc. Organization, Toledo, OH Medical staffing company, Consulting firm Adp of the SNF Apr 1, 2012
Grand Lodge of Free and Accepted Masons of Michigan Organization, Alma, MI Non-profit 5% Or Greater Indirect Ownership Interest Jun 1, 1995 100%
Gary Paquet Individual Corporate DirectorTrustee Jul 1, 2024
Bruce Caswell Individual Corporate DirectorTrustee Jul 1, 2021
Kari Conn Individual Operational/Managerial Control Apr 12, 2020
Adp of the SNF Jan 9, 2026
Organization, Toledo, OH Adp of the SNF Dec 29, 2025
Mike Roberts Individual Corporate DirectorDeputy Grand Master Jul 1, 2025
Prakash Sarvepalli Individual Operational/Managerial Control Mar 1, 2024
Adp of the SNF Dec 29, 2025
Scott Hanson Individual Operational/Managerial Control Aug 11, 2025
Morrison Management Specialists Inc Organization, Boston, ME Management services company, Consulting firm Operational/Managerial Control Apr 1, 2012
Adp of the SNF Apr 1, 2012
William Sauget Individual Corporate DirectorChairman Jun 1, 2024
Monica Goodrich Individual Operational/Managerial Control Mar 7, 2022
Larry Inscho Individual Corporate DirectorBoard Member Feb 9, 2024
Trustee of the SNF Feb 9, 2024
Jennifer Snider Individual Corporate DirectorTrustee Jul 1, 2022
Michigan Masonic Home Organization, Alma, MI Medical provider/supplier, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 1967 100%
Direct Ownership Interest Jan 1, 1967 100%
Organization, Toledo, OH Adp of the SNF Dec 29, 2025
James Groat Individual Corporate DirectorTrustee Jul 1, 2023

Owners & managing parties with NPI records 3

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

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 10

Facilities that share an organizational owner with 5% or greater ownership or operational 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.

Affiliated clinicians 2

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": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1376545533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WRIGHT AVE",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011133",
            "telephone_number": "989-463-3141",
            "fax_number": "989-466-2796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WRIGHT AVE",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011133",
            "telephone_number": "989-463-3141",
            "fax_number": "989-466-2796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN MASONIC HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2014-12-29",
        "status": "A",
        "authorized_official_last_name": "MAPES",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-463-4285",
        "authorized_official_credential": "PRESIDENT, HOME BOAR"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "294040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2080833",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "09597",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Masonic Pathways",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alma, MI

Sources for this page

Verify at the official NPI Registry.