Active NPI
Gladwin Pines Operating, LLC
Doing business as Gladwin Pines Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Gladwin, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- GLADWIN PINES OPERATING, LLC
- Doing business as
- Gladwin Pines Nursing and Rehabilitation Center
- Practice address
- 449 Quarter St
Gladwin, MI 48624-1918 - Phone
- (989) 588-3547
- NPI assigned
- Feb 8, 2016
- Last updated
- Feb 8, 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
- Mr. Brian Doyle Thompson
- Title
- Treasurer
- Phone
- (989) 588-3547
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | MI | Primary |
Addresses
Primary practice location
449 Quarter St
Gladwin, MI 48624-1918
Mailing address
2532 W Cadillac Dr
PO Box 579
Farwell, MI 48622-9757
Phone (989) 588-3547
Other names 1
- Gladwin Pines Nursing and Rehabilitation Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160311002221 | MI | Part A Provider - Skilled Nursing Facility | 6406152776 | Practice locations: Gladwin, MI |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1396103180. Details of each certification follow.
Skilled nursing facility certification: CCN 235485
- Legal name
- GLADWIN PINES OPERATING LLC
- Doing business as
- GLADWIN PINES NURSING AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Apr 14, 1989
- Last certification
- Aug 7, 2024
- Beds
- 84
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Peplinski Group
- Organization structure
- LLC
- Enrollment address
- 449 Quarter St
Gladwin, MI 48624-1918 - Nursing home name
- GLADWIN PINES NURSING AND REHABILITATION CENTER
- Affiliated entity
- THE PEPLINSKI GROUP
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Gladwin Pines Nursing and Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Apr 14, 1989
- Medicare certification status
- Active
- Certified beds
- 84
- Chain
- The Peplinski Group
- Penalties (3 years)
- 5
National Provider Directory
National Provider Directory- Tax ID family
- Gladwin Pines Nursing and Rehabilitation Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Gladwin Pines Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Gladwin, MI
- NPI 1184073397
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Plante & Moran PLLC | Operational/Managerial Control | May 1, 2016 | |
| Adp of the SNF | Apr 15, 2025 | ||
| Todd J Peplinski | Adp of the SNF | May 1, 2016 | |
| Direct Ownership Interest | May 1, 2016 | 20% | |
| Christine Pepera | Operational/Managerial Control | Jul 12, 2021 | |
| Adp of the SNF | Jul 12, 2021 | ||
| Ricky L Ackerman | Operational/Managerial Control | May 1, 2016 | |
| Adp of the SNF | May 1, 2016 | ||
| Direct Ownership Interest | May 1, 2016 | 20% | |
| Gladwin Pines Property Holdings LLC | Adp of the SNF | May 1, 2016 | |
| Kathy Winkels | Operational/Managerial Control | Jul 5, 2016 | |
| Adp of the SNF | Jul 5, 2016 | ||
| Michael P Baumgarten | Adp of the SNF | May 1, 2016 | |
| Direct Ownership Interest | May 1, 2016 | 20% | |
| Amarish S Potnis | Operational/Managerial Control | May 1, 2016 | |
| Adp of the SNF | May 1, 2016 | ||
| Brian D Thompson | Operational/Managerial Control | May 1, 2016 | |
| Adp of the SNF | May 1, 2016 | ||
| Direct Ownership Interest | May 1, 2016 | 20% | |
| Jeffery R Schade | Operational/Managerial Control | May 1, 2016 | |
| Adp of the SNF | May 1, 2016 | ||
| Direct Ownership Interest | May 1, 2016 | 20% | |
| The Peplinski Group Inc | Adp of the SNF | May 1, 2016 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Internal Medicine) Physician
- Midland, MI
- NPI 1962440867
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 7
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba West Woods of Niles
- Skilled Nursing Facility
- Niles, MI
- NPI 1538167267
Plante & Moran PLLC
-
dba West Woods of Bridgman
- Skilled Nursing Facility
- Bridgman, MI
- NPI 1669895835
Plante & Moran PLLC
-
dba North Woods Nursing Center
- Skilled Nursing Facility
- Farwell, MI
- NPI 1780682096
Plante & Moran PLLC
-
dba grand oaks nursing center
- Skilled Nursing Facility
- Baldwin, MI
- NPI 1073509261
Plante & Moran PLLC
-
dba Huron Woods Nursing Center
- Skilled Nursing Facility
- Kawkawlin, MI
- NPI 1417942103
Plante & Moran PLLC
-
dba Stratford Pines Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Midland, MI
- NPI 1336507110
Plante & Moran PLLC
-
dba DBA: Maple Woods Manor
- Nursing Facility/Intermediate Care Facility
- Clio, MI
- NPI 1922004548
Plante & Moran PLLC
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Midland, MI
- NPI 1962440867
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Midland, MI
- NPI 1962440867
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1454889600000",
"number": "1396103180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2532 W CADILLAC DR",
"address_2": "PO BOX 579",
"city": "FARWELL",
"state": "MI",
"postal_code": "486229757",
"telephone_number": "989-588-3547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "449 QUARTER ST",
"city": "GLADWIN",
"state": "MI",
"postal_code": "486241918",
"telephone_number": "989-588-3547"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLADWIN PINES OPERATING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-08",
"last_updated": "2016-02-08",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "DOYLE",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "989-588-3547",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Gladwin Pines Nursing and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gladwin, MI
- Gladwin Family Chiropractic PC
- Gladwin Family Pharmacy LLC
- Gladwin Family Practice
- Gladwin Optometric Center Inc
- Gladwin Pines Operating, LLC (Gladwin Pines Nursing and Rehabilitation Center)
- Gladwin Urgent Care PC
- Daniel Goodin, MD
- Taylor Gorski
- Great Lakes Medical PC (Gladwin Urgent Care Center)
- Great Lakes Medical, P,C, (Gladwin Urgent Care Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.