Active NPI
Battle Creek SNF Operations LLC
- Skilled Nursing Facility
- Battle Creek, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Creek
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 1, 1968
- Medicare certification status
- Active
- Certified beds
- 65
- Chain
- Majestic Care
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| David Alexander | Operational/Managerial Control | May 1, 2023 | |
| Adp of the SNF | May 1, 2023 | ||
| Angela Rewa | Operational/Managerial Control | Oct 23, 2023 | |
| Adp of the SNF | Oct 23, 2023 | ||
| Robert Laron Russell | Operational/Managerial Control | Apr 8, 2024 | |
| Adp of the SNF | Apr 8, 2024 | ||
| Paul Pruitt | Operational/Managerial Control | May 1, 2023 | |
| Managing Control - Governing Body | May 1, 2023 | ||
| Adp of the SNF | May 1, 2023 | ||
| MDG Real Estate Global Limited | Adp of the SNF | Jul 1, 2021 | |
| Majestic Michigan Operations I LLC | 5% Or Greater Direct Ownership Interest | Jul 1, 2021 | 100% |
| MDG Majestic Michigan Realty I LLC | Adp of the SNF | Jul 1, 2021 | |
| Anthony B Janas | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Margaret Chamberlain | Operational/Managerial Control | Sep 11, 2023 | |
| Adp of the SNF | Sep 11, 2023 | ||
| Anzhelika Shatrov | Operational/Managerial Control | Dec 2, 2024 | |
| Adp of the SNF | Dec 2, 2024 | ||
| David Marx | 5% Or Greater Indirect Ownership Interest | Jul 1, 2021 | 79% |
| Operational/Managerial Control | Jul 1, 2021 | ||
| Adp of the SNF | Jul 1, 2021 | ||
| Battle Creek SNF Realty LLC | Operational/Managerial Control | Jul 1, 2021 | |
| Adp of the SNF | Jul 1, 2021 | ||
| Dem Family Trust I | 5% Or Greater Indirect Ownership Interest | Jul 1, 2021 | 21% |
| Salina Tiernan | Operational/Managerial Control | Aug 26, 2024 | |
| Adp of the SNF | Aug 26, 2024 | ||
| Majestic Management Michigan LLC | Operational/Managerial Control | Jul 1, 2021 | |
| Adp of the SNF | Jul 15, 2025 | ||
| Adp of the SNF | Jul 15, 2025 | ||
| Eric Wolfe | Operational/Managerial Control | Sep 11, 2023 | |
| Adp of the SNF | Sep 11, 2023 | ||
| 4 MDR of Queens Inc | 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.
-
- Family Medicine Physician
- Three Rivers, MI
- NPI 1437398831
Adp of the SNF, Operational/Managerial Control
-
- Geriatric Medicine (Internal Medicine) Physician
- Carmel, IN
- NPI 1407052376
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 2
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Flushing, MI
- NPI 1336722248
Dem Family Trust I, Majestic Management Michigan LLC, Majestic Michigan Operations I LLC
-
- Skilled Nursing Facility
- Livonia, MI
- NPI 1043893951
Dem Family Trust I, Majestic Management Michigan LLC, Majestic Michigan Operations I LLC
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Three Rivers, MI
- NPI 1437398831
-
- Family Medicine Physician
- Battle Creek, MI
- NPI 1700992484
-
- Family Medicine Physician
- Battle Creek, MI
- NPI 1154439339
-
- Geriatric Medicine (Internal Medicine) Physician
- Carmel, IN
- NPI 1407052376
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
- Battle Creek Medical Associates, PC
- Battle Creek Neurosurgeons PLC
- Battle Creek Obstetrics & Gynecology Associates PC
- Battle Creek Oral and Maxillofacial Surgery
- Battle Creek SNF Opco LLC
- Battle Creek Sports Medicine and Orthopedic Center, PC
- Battle Creek Surgical, PC
- Battle Creek Urgent Care Walk in Clinic PC
- Battle Creek Vamc
- Battle Creek Vamc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.