Active NPI
Oceana County Medical Care Facility
- Skilled Nursing Facility
- Hart, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 648510
- Legal business name
- OCEANA COUNTY MEDICAL CARE FACILITY
- Practice address
- 701 E Main St
Hart, MI 49420-1168 - Phone
- (231) 873-6600
- Fax
- (231) 873-6030
- NPI assigned
- Jul 13, 2005
- Last updated
- Jul 26, 2024
- 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. Larry K Vansickle
- Title
- Chairman of Board
- Phone
- (231) 873-4052
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | 648510 | MI | |
| Skilled Nursing Facility | 314000000X | 648510 | MI | Primary |
Addresses
Primary practice location
701 E Main St
Hart, MI 49420-1168
Mailing address
701 E Main St
Hart, MI 49420-1168
Phone (231) 873-6600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30910 | Other | MI | BCBSM |
| 2085114 | 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 |
|---|---|---|---|---|
| O20111121000966 | MI | Part A Provider - Skilled Nursing Facility | 2961432059 | Practice locations: Hart, MI |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1417955477. Details of each certification follow.
Skilled nursing facility certification: CCN 235002
- Legal name
- OCEANA COUNTY MEDICAL CARE FACILITY
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1967
- Last certification
- Aug 7, 2024
- Beds
- 115
- Ownership / control type
- County
- Organization structure
- Government
- Enrollment address
- 701 E Main St
Hart, MI 49420-1168 - Nursing home name
- OCEANA COUNTY MEDICAL CARE FACILITY
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Oceana County Medical Care Facility
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Government - County
- Certified
- Jan 1, 1967
- Medicare certification status
- Active
- Certified beds
- 115
National Provider Directory
National Provider Directory- Tax ID family
- Oceana County Medical Care Facility
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rehabilitation Clinic/Center
- Hart, MI
- NPI 1306025523
Ownership & related parties
All disclosed owners & managing parties 16
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 |
|---|---|---|---|
| Lyndie Stokes | Operational/Managerial Control | Mar 16, 2026 | |
| Adp of the SNF | Mar 16, 2026 | ||
| Jack Wood | Operational/Managerial Control | Aug 18, 2020 | |
| Adp of the SNF | Aug 18, 2020 | ||
| Oceana County | 5% Or Greater Direct Ownership Interest | Jan 1, 1967 | 100% |
| Operational/Managerial Control | Jan 1, 1967 | ||
| Adp of the SNF | Mar 9, 2026 | ||
| Linda East | Corporate Director | Nov 1, 2025 | |
| Dale Danes | Corporate Director | Nov 1, 2023 | |
| Cynthia Leone | Operational/Managerial Control | Aug 19, 2020 | |
| Adp of the SNF | Aug 19, 2020 | ||
| Amanda de Los Santos-Santiago | Operational/Managerial Control | Oct 5, 2020 | |
| Adp of the SNF | Oct 5, 2020 | ||
| Melanie Stickney | Operational/Managerial Control | Oct 17, 2012 | |
| Adp of the SNF | Oct 17, 2021 | ||
| Larry K Vansickle | Corporate Director | Dec 22, 2014 | |
| Daron Troyer | Operational/Managerial Control | Dec 3, 2025 | |
| Adp of the SNF | Dec 3, 2025 | ||
| Eryn Frinkle | Operational/Managerial Control | Jul 19, 2022 | |
| Adp of the SNF | Jul 19, 2025 | ||
| Sally Choponis | Operational/Managerial Control | Jan 26, 2026 | |
| Adp of the SNF | Jan 26, 2026 | ||
| Amanda Lange | Operational/Managerial Control | Jan 6, 2014 | |
| Adp of the SNF | Jan 6, 2014 | ||
| Cynthia Ochs | Operational/Managerial Control | Oct 1, 1995 | |
| Adp of the SNF | Oct 1, 1995 | ||
| Gina Ramirez | Operational/Managerial Control | Nov 24, 2025 | |
| Adp of the SNF | Nov 24, 2025 | ||
| Eveline Taylor | Operational/Managerial Control | Sep 6, 2022 | |
| Adp of the SNF | Sep 6, 2022 |
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.
-
- Family Medicine Physician
- North Muskegon, MI
- NPI 1235145244
Affiliated clinicians 1
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": "1121212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721952000000",
"number": "1417955477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 E MAIN ST",
"city": "HART",
"state": "MI",
"postal_code": "494201168",
"telephone_number": "231-873-6600",
"fax_number": "231-873-6030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 E MAIN ST",
"city": "HART",
"state": "MI",
"postal_code": "494201168",
"telephone_number": "231-873-6600",
"fax_number": "231-873-6030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCEANA COUNTY MEDICAL CARE FACILITY",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-13",
"last_updated": "2024-07-26",
"certification_date": "2024-07-26",
"status": "A",
"authorized_official_last_name": "VANSICKLE",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "CHAIRMAN OF BOARD",
"authorized_official_telephone_number": "231-873-4052",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": "MI",
"license": "648510",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MI",
"license": "648510",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "30910",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2085114",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hart, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.