NPIMap

Organization Active NPI

McLaren Caro Region

  • Rural Health Clinic/Center
  • Caro, MI
National Provider Identifier
1407477136
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MCLAREN CARO REGION
Doing business as
McLaren Caro Region
Practice address
465 N Hooper St
Caro, MI 48723-1406
Phone
(989) 672-5735
Fax
(989) 672-5736
NPI assigned
May 5, 2020
Last updated
Nov 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Authorized official

Name
Kenneth Baranski
Title
VP/Cfo
Phone
(989) 269-1510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

465 N Hooper St
Caro, MI 48723-1406

Mailing address

PO Box 435
Caro, MI 48723-0435
Phone (989) 672-5800

Other names 2

  • McLaren Caro Region Doing business as
  • McLaren Caro Hill Building Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200707000664 MI Part A Provider - Rural Health Clinic 9234048166 Practice locations: Caro, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407477136. Details of each certification follow.

Rural health clinic certification: CCN 238748

Legal name
MCLAREN CARO REGION
Doing business as
MCLAREN CARO HILL BUILDING
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Nov 25, 2020
Last certification
Nov 25, 2020
Ownership / control type
2B
Organization structure
CorporationNon-profit
Enrollment address
465 N Hooper St
Caro, MI 48723-1406
Related CCNs
231329

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory
Tax ID family
McLaren Caro Region4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Kenneth E Baranski Individual Corporate OfficerVP/Cfo Mar 27, 2024
W-2 Managing EmployeeVP/Cfo Mar 27, 2024
Operational/Managerial ControlVP/Cfo Mar 27, 2024
Chad Grant Individual Corporate DirectorCoo & MHC Corp Designee Aug 7, 2021
Lainey Ransford Individual Corporate DirectorTrustee Jan 1, 2014
Connie Koutouzos Individual Corporate OfficerPresident/Ceo Nov 15, 2021
W-2 Managing EmployeePresident/Ceo Nov 15, 2021
Operational/Managerial ControlPresident/Ceo Nov 15, 2021
John Hunter Individual Corporate DirectorTrustee Jan 1, 2014
McLaren Health Care Corporation Organization, Grand Blanc, MI Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Jan 26, 2018 100%
Robert Wolak Individual Corporate DirectorDirector Apr 1, 2014
Jonathan Cummings Individual Corporate DirectorTrustee Jun 11, 2026
Robert Fulton Individual Corporate DirectorTrustee Nov 15, 2021
Brant Wilson Individual Corporate DirectorTrustee Feb 1, 2019

Facilities with the same owner 58

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

View all 58

NPI Registry JSON

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1407477136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 435",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487230435",
            "telephone_number": "989-672-5800",
            "fax_number": "989-673-8471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 N HOOPER ST",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487231406",
            "telephone_number": "989-672-5735",
            "fax_number": "989-672-5736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLAREN CARO REGION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-05",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "BARANSKI",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "989-269-1510"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McLaren Caro Region",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "McLaren Caro Region",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "McLaren Caro Hill Building",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Caro, MI

Sources for this page

Verify at the official NPI Registry.