Organization Active NPI

Battle Creek SNF Operations LLC

  • Skilled Nursing Facility
  • Battle Creek, MI
National Provider Identifier
1487237392
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BATTLE CREEK SNF OPERATIONS LLC
Practice address
200 Roosevelt Ave E
Battle Creek, MI 49037-2829
Phone
(269) 965-3327
NPI assigned
Apr 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Authorized official

Name
Paul Pruitt
Title
Officer
Phone
(317) 288-4029

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

200 Roosevelt Ave E
Battle Creek, MI 49037-2829

Mailing address

777 E Main St Ste 210
Westfield, IN 46074-5301
Phone (317) 288-4029

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210812002191 MI Part A Provider - Skilled Nursing Facility 5496159451 Practice locations: Battle Creek, MI

Skilled nursing facility certification: CCN 235023

Legal name
BATTLE CREEK SNF OPERATIONS LLC
Doing business as
MAJESTIC CARE OF BATTLE CREEK
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jan 1, 1968
Last certification
Oct 30, 2024
Beds
65
Ownership / control type
Corporation
Multi-facility organization
Majestic Care of Battle Creek
Organization structure
LLCProprietary
Incorporated
Mar 11, 2021 in MI
Enrollment address
200 Roosevelt Ave E
Battle Creek, MI 49037-2829
Nursing home name
MAJESTIC CARE OF BATTLE CREEK
Affiliated entity
MAJESTIC CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Majestic Care of Battle CreekCCN 235023
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 1, 1968
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6552.3 residents per day on average
Chain
Majestic Care22 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
David Alexander Individual Operational/Managerial Control May 1, 2023
Adp of the SNF May 1, 2023
Angela Rewa Individual Operational/Managerial Control Oct 23, 2023
Adp of the SNF Oct 23, 2023
Robert Laron Russell Individual Operational/Managerial Control Apr 8, 2024
Adp of the SNF Apr 8, 2024
Paul Pruitt Individual Operational/Managerial Control May 1, 2023
Managing Control - Governing BodyCeo May 1, 2023
Adp of the SNF May 1, 2023
MDG Real Estate Global Limited Organization, Fresh Meadows, NY Corporation Adp of the SNF Jul 1, 2021
Majestic Michigan Operations I LLC Organization, Flushing, NY LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 1, 2021 100%
MDG Majestic Michigan Realty I LLC Organization, Fresh Meadows, NY LLC Adp of the SNF Jul 1, 2021
Anthony B Janas Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Margaret Chamberlain Individual Operational/Managerial Control Sep 11, 2023
Adp of the SNF Sep 11, 2023
Anzhelika Shatrov Individual Operational/Managerial Control Dec 2, 2024
Adp of the SNF Dec 2, 2024
David Marx Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2021 79%
Operational/Managerial ControlLLC Manager Jul 1, 2021
Adp of the SNF Jul 1, 2021
Battle Creek SNF Realty LLC Organization, Fresh Meadows, NY LLC Operational/Managerial Control Jul 1, 2021
Adp of the SNF Jul 1, 2021
Dem Family Trust I Organization, Lawrence, NY 5% Or Greater Indirect Ownership Interest Jul 1, 2021 21%
Salina Tiernan Individual Operational/Managerial Control Aug 26, 2024
Adp of the SNF Aug 26, 2024
Majestic Management Michigan LLC Organization, Flushing, NY LLC, Management services company, For-profit Operational/Managerial Control Jul 1, 2021
Adp of the SNF Jul 15, 2025
Organization, Lakewood, NJ Consulting firm Adp of the SNF Jul 15, 2025
Eric Wolfe Individual Operational/Managerial Control Sep 11, 2023
Adp of the SNF Sep 11, 2023
4 MDR of Queens Inc Organization, Flushing, NY Corporation Adp of the SNF Jul 1, 2021

Owners & managing parties with NPI records 2

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

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1619654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1487237392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 E MAIN ST STE 210",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460745301",
            "telephone_number": "317-288-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ROOSEVELT AVE E",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490372829",
            "telephone_number": "269-965-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATTLE CREEK SNF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-29",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "317-288-4029"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.