Gogebic Medical Care Facility
Organization Active NPI Skilled Nursing Facility · Wakefield, MI
NPI 1609869841 · NPPES record last updated Nov 14, 2011
Key facts
- NPI
- 1609869841
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 278510 (MI)
- Legal business name
- GOGEBIC MEDICAL CARE FACILITY
- Practice address
- 402 North St
Wakefield, MI 49968-9452 - Phone
- (906) 224-9811
- Fax
- (906) 224-1086
- NPI assigned
- Aug 23, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Robert E Dunn
- Title
- Administrator
- Phone
- (906) 224-9811
Owners & managing parties with NPI records 1
-
James Emil Rocco, M.D.
Practitioners 2
-
James Emil Rocco, M.D.
-
Theresa Ciardi Sheehan, MD FACP
Affiliated clinicians 2
-
James Emil Rocco, M.D.
-
Theresa Ciardi Sheehan, MD FACP
Medicare Care Compare: Nursing home
- Listed as
- Gogebic Medical Care Facility
- Overall star rating
- ★★★☆☆ 3 of 5
- Health inspections
- ★★★★☆ 4 of 5
- Staffing
- ★☆☆☆☆ 1 of 5
- Quality measures
- ★★☆☆☆ 2 of 5
- Type
- Medicare and Medicaid
- Ownership
- Government - County
- Certified
- Jan 1, 1967
- Certified beds
- 100 · 79.4 residents per day on average
- Penalties (3 years)
- 2 · fines totaling $16,153
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Skilled nursing facility certification: CCN 235026
- Legal name
- GOGEBIC MEDICAL CARE FACILITY
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1967
- Last certification
- Mar 4, 2025
- Beds
- 100
- Ownership / control type
- County
- Organization structure
- Government · Non-profit
- Enrollment address
- 402 North St
Wakefield, MI 49968-9452 - Nursing home name
- GOGEBIC MEDICAL CARE FACILITY
All disclosed owners & managing parties 12
| Name | Role | Since | Share |
|---|---|---|---|
| |
Adp of the SNF | Dec 5, 2024 | |
| Nathan David Cooley |
Operational/Managerial Control | Jan 28, 2021 | |
| Adp of the SNF | Jan 28, 2021 | ||
| |
Adp of the SNF | Dec 5, 2024 | |
| |
Adp of the SNF | Dec 5, 2024 | |
| |
Adp of the SNF | Dec 5, 2024 | |
| James E Rocco |
Operational/Managerial Control | Dec 1, 2019 | |
| Trustee of the SNF | Dec 1, 2019 | ||
| Adp of the SNF | Dec 1, 2019 | ||
| |
Adp of the SNF | Dec 5, 2024 | |
| |
Adp of the SNF | Dec 5, 2024 | |
| County of Gogebic |
5% Or Greater Direct Ownership Interest | Jan 1, 1966 | 100% |
| Operational/Managerial Control | Jan 14, 2025 | ||
| Adp of the SNF | Jan 14, 2025 | ||
| Direct Ownership Interest | Jan 1, 1966 | 100% | |
| |
Adp of the SNF | Dec 5, 2024 | |
| |
Adp of the SNF | Jan 14, 2025 | |
| Melissa a Jurakovich |
Operational/Managerial Control | Jan 1, 2022 | |
| Trustee of the SNF | Jan 1, 2022 | ||
| Adp of the SNF | Jan 1, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111209000579 | MI | Part a Provider - Skilled Nursing Facility | 6305011925 | Practice locations: Wakefield, MI |
National Provider Directory
Locations
402 North St
Wakefield, MI 49968
Phone (704) 771-5449
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 278510 | MI | Yes |
Addresses
Primary practice location
402 North St
Wakefield, MI 49968-9452
Mailing address
402 North St
Wakefield, MI 49968-9452
Phone (906) 224-9811
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09614 | Other | MI | BLUE CROSS/BLUE SHIELD |
| 2084190 | Medicaid | MI |
Other providers in Wakefield, MI
- Katherine Florey
- Gogebic County Community Mental Health Authority
- Gogebic County Community Mental Health Authority
- Gogebic County Community Mental Health Authority
- Gogebic County Mental Health Authority
- Allie Goodman
- Tess Juanita Greenough
- Michael J Gregor
- Kenneth Hansen
- Samuel Hautala
All providers in Wakefield, MI · Skilled Nursing Facility in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.