Organization Active NPI

Oceana County Medical Care Facility

  • Skilled Nursing Facility
  • Hart, MI
National Provider Identifier
1417955477
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
648510 Issued in MI
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
30910OtherMIBCBSM
2085114MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
GovernmentNon-profit
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 FacilityCCN 235002 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Government - County
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11597.4 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Oceana County Medical Care Facility2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

NameRoleSinceShare
Lyndie Stokes Individual Operational/Managerial Control Mar 16, 2026
Adp of the SNF Mar 16, 2026
Jack Wood Individual Operational/Managerial Control Aug 18, 2020
Adp of the SNF Aug 18, 2020
Oceana County Organization, Hart, MI Non-profit 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 Individual Corporate DirectorChairman of the Board Nov 1, 2025
Dale Danes Individual Corporate DirectorVice Chair Nov 1, 2023
Cynthia Leone Individual Operational/Managerial Control Aug 19, 2020
Adp of the SNF Aug 19, 2020
Amanda de Los Santos-Santiago Individual Operational/Managerial Control Oct 5, 2020
Adp of the SNF Oct 5, 2020
Melanie Stickney Individual Operational/Managerial Control Oct 17, 2012
Adp of the SNF Oct 17, 2021
Larry K Vansickle Individual Corporate DirectorBoard Member Dec 22, 2014
Daron Troyer Individual Operational/Managerial Control Dec 3, 2025
Adp of the SNF Dec 3, 2025
Eryn Frinkle Individual Operational/Managerial Control Jul 19, 2022
Adp of the SNF Jul 19, 2025
Sally Choponis Individual Operational/Managerial Control Jan 26, 2026
Adp of the SNF Jan 26, 2026
Amanda Lange Individual Operational/Managerial Control Jan 6, 2014
Adp of the SNF Jan 6, 2014
Cynthia Ochs Individual Operational/Managerial Control Oct 1, 1995
Adp of the SNF Oct 1, 1995
Gina Ramirez Individual Operational/Managerial Control Nov 24, 2025
Adp of the SNF Nov 24, 2025
Eveline Taylor Individual 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.

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

Verify at the official NPI Registry.