Organization Active NPI

McLaren Health Management Group

Doing business as McLaren Visiting Nurse and Hospice

  • Home Health Agency
  • Mt Pleasant, MI
National Provider Identifier
1386662930
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MCLAREN HEALTH MANAGEMENT GROUP
Doing business as
McLaren Visiting Nurse and Hospice
McLaren Home Health
McLaren Homecare
Practice address
501 S Mission St
Mt Pleasant, MI 48858-2869
Phone
(800) 862-3132
Fax
(866) 323-5974
NPI assigned
Jul 18, 2006
Last updated
Nov 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Authorized official

Name
Steven Dale Loy
Title
Vice President/Cfo
Phone
(810) 496-8633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X MI Primary

Addresses

Primary practice location

501 S Mission St
Mt Pleasant, MI 48858-2869

Mailing address

1515 Cal Dr
Davison, MI 48423-9016
Phone (810) 496-8640

Other identifiers 1

IdentifierTypeStateIssuer
2913590MedicaidMI

Other names 4

  • MCLAREN VISITING NURSE AND HOSPICE Doing business as
  • McLaren Home Health Doing business as
  • McLaren Homecare Doing business as
  • Visiting Nurse Services of Michigan Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140321000429 MI Part A Provider - Home Health Agency 8628985215 Practice locations: Mt. Pleasant, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386662930. Details of each certification follow.

Home health agency certification: CCN 237036

Legal name
MCLAREN HEALTH MANAGEMENT GROUP
Doing business as
MCLAREN HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 13, 1966
Last certification
Jan 31, 2020
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Feb 9, 2014 in MI
Enrollment address
501 S Misson St
Mt. Pleasant, MI 48858-2869

Other NPIs with the same Medicare PAC ID 12

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
McLaren Home CareCCN 237036 · All quality measures
Overall star rating
4 of 5
Ownership
Non-Profit
Certified
Oct 13, 1966
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
McLaren Central Michigan43 organizations share this tax ID, including this one

Other organizations with this tax ID 42

Organizations that report the same tax identification number in the National Provider Directory.

View all 42

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Michael a Ziccardi Individual Corporate DirectorBoard Member Jan 31, 2020
Deborah Leblanc Individual Corporate OfficerBoard Member Oct 17, 2020
Tom G Donaldson Individual Corporate DirectorBoard Member Feb 9, 2014
Wendy Dupuy Individual Corporate Director May 8, 2023
Robert L Norcross Individual Corporate DirectorBoard Member Dec 31, 2017
Barton Buxton Individual Corporate DirectorBoard Member Feb 9, 2014
Nancy Jenkins Individual Corporate DirectorBoard Member Oct 21, 2021
McLaren Health Care Corporation Organization, Grand Blanc, MI Non-profit 5% Or Greater Direct Ownership Interest Feb 9, 2014 100%
Joseph a Sasiela Individual Corporate DirectorBoard Member Feb 9, 2014
David Mazurkiewicz Individual Corporate Director Jan 20, 2022
Steven Loy Individual Corporate DirectorDirector of Finance Dec 1, 2017
W-2 Managing EmployeeRevenue Cycle Manager Feb 9, 2014 10%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 58

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

View all 58

Practitioners & affiliated clinicians

Affiliated clinicians 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668729600000",
    "number": "1386662930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 CAL DR",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484239016",
            "telephone_number": "810-496-8640",
            "fax_number": "810-496-8814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S MISSION ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582869",
            "telephone_number": "800-862-3132",
            "fax_number": "866-323-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLAREN HEALTH MANAGEMENT GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A",
        "authorized_official_last_name": "LOY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "VICE PRESIDENT/CFO",
        "authorized_official_telephone_number": "810-496-8633"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2913590",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCLAREN VISITING NURSE AND HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "McLaren Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "McLaren Homecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Visiting Nurse Services of Michigan",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mt Pleasant, MI

Sources for this page

Verify at the official NPI Registry.