Organization Active NPI

Gogebic Medical Care Facility

  • Skilled Nursing Facility
  • Wakefield, MI
National Provider Identifier
1609869841
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
278510 Issued in 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
Last updated
Nov 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Authorized official

Name
Mr. Robert E Dunn
Title
Administrator
Phone
(906) 224-9811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 278510 MI Primary

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 2

IdentifierTypeStateIssuer
09614OtherMIBLUE CROSS/BLUE SHIELD
2084190MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111209000579 MI Part A Provider - Skilled Nursing Facility 6305011925 Practice locations: Wakefield, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609869841. Details of each certification follow.

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
GovernmentNon-profit
Enrollment address
402 North St
Wakefield, MI 49968-9452
Nursing home name
GOGEBIC MEDICAL CARE FACILITY

Care Compare: Nursing home

Medicare Care Compare
Listed as
Gogebic Medical Care FacilityCCN 235026 · All quality measures
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
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10079.4 residents per day on average
Penalties (3 years)
2Fines totaling $16,153

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Individual Adp of the SNF Dec 5, 2024
Nathan David Cooley Individual Operational/Managerial Control Jan 28, 2021
Adp of the SNF Jan 28, 2021
Individual Adp of the SNF Dec 5, 2024
Individual Adp of the SNF Dec 5, 2024
Individual Adp of the SNF Dec 5, 2024
James E Rocco Individual Operational/Managerial Control Dec 1, 2019
Trustee of the SNF Dec 1, 2019
Adp of the SNF Dec 1, 2019
Individual Adp of the SNF Dec 5, 2024
Individual Adp of the SNF Dec 5, 2024
County of Gogebic Organization, Bessemer, MI 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%
Individual Adp of the SNF Dec 5, 2024
Individual Adp of the SNF Jan 14, 2025
Melissa a Jurakovich Individual Operational/Managerial Control Jan 1, 2022
Trustee of the SNF Jan 1, 2022
Adp of the SNF Jan 1, 2022

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 2

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 2

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": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1609869841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 NORTH ST",
            "city": "WAKEFIELD",
            "state": "MI",
            "postal_code": "499689452",
            "telephone_number": "906-224-9811",
            "fax_number": "906-224-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 NORTH ST",
            "city": "WAKEFIELD",
            "state": "MI",
            "postal_code": "499689452",
            "telephone_number": "906-224-9811",
            "fax_number": "906-224-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOGEBIC MEDICAL CARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "906-224-9811",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "278510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "09614",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2084190",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, MI

Sources for this page

Verify at the official NPI Registry.