Burcham Hills Retirement Center II
Organization Active NPI Skilled Nursing Facility · East Lansing, MI
NPI 1659344844 · NPPES record last updated Aug 28, 2019
Key facts
- NPI
- 1659344844
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 339030 (MI)
- Legal business name
- BURCHAM HILLS RETIREMENT CENTER II
- Practice address
- 2700 Burcham Dr
East Lansing, MI 48823-3898 - Phone
- (517) 351-8377
- Fax
- (517) 336-1916
- NPI assigned
- Feb 9, 2006
- Organization subpart
- No
Authorized official
- Name
- James C Kaczmarczyk Jr.
- Title
- Director of Finance
- Phone
- (517) 351-4662
Owners & managing parties with NPI records 1
Subparts reporting this organization as parent 1
Member organizations 1
Facilities with the same owner 57
Practitioners 4
-
Nadir Galal Abdelrahman, M.D.
-
Raza Ul Haque, MD
Affiliated clinicians 3
-
Raza Ul Haque, MD
Medicare Care Compare: Nursing home
- Listed as
- Burcham Hills Retirement Center
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★☆☆☆☆ 1 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★☆☆☆ 2 of 5
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Nov 1, 1978
- Medicare certification status
- Active
- Certified beds
- 133 · 106.5 residents per day on average
- Chain
- Life Care Services
- Penalties (3 years)
- 2 · fines totaling $37,557
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Skilled nursing facility certification: CCN 235236
- Legal name
- BURCHAM HILLS RETIREMENT CENTER II
- Doing business as
- BURCHAM HILLS RETIREMENT COMMUNITY
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Nov 1, 1978
- Last certification
- May 15, 2025
- Beds
- 133
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Sep 15, 1998 in MI
- Enrollment address
- 2700 Burcham Dr
East Lansing, MI 48823-3898 - Nursing home name
- BURCHAM HILLS RETIREMENT CENTER
- Affiliated entity
- LIFE CARE SERVICES
All disclosed owners & managing parties 19
| Name | Role | Since | Share |
|---|---|---|---|
| Paula Reichle |
Corporate Director |
Apr 1, 2024 | |
| Lisa R Cummins |
Operational/Managerial Control | Nov 11, 2024 | |
| James Savage |
Corporate Officer |
Jan 1, 1997 | |
| Corporate Director |
Jan 1, 1997 | ||
| Susan Yontz |
Corporate Officer |
Apr 20, 2022 | |
| Corporate Director |
Mar 1, 2019 | ||
| Jason C Victor |
Corporate Officer |
Jul 1, 2013 | |
| Mark D Ensberg |
Operational/Managerial Control | Mar 1, 2025 | |
| Adp of the SNF | Apr 15, 2025 | ||
| Bridgette C Uhlemann |
Corporate Officer |
Sep 15, 2024 | |
| Stella Hall Cash |
Corporate Director |
Jun 5, 2018 | |
| Charles Hillary |
Corporate Director |
Jan 1, 2014 | |
| Life Care Services LLC |
Operational/Managerial Control | Jul 1, 2015 | |
| Adp of the SNF | Apr 15, 2025 | ||
| Angela Brummette |
Operational/Managerial Control |
Jun 3, 2020 | |
| Adp of the SNF | Apr 15, 2025 | ||
| Reginald Carter |
Corporate Director |
Sep 1, 2008 | |
| Patricia Munshaw |
Corporate Director |
Jan 1, 2012 | |
| John Christopher Bird |
Corporate Officer |
Feb 19, 2018 | |
| Steven L. Owen |
Corporate Director |
Apr 29, 2021 | |
| Daphne Hobson |
Corporate Director |
Apr 20, 2022 | |
| Scott a. Breen |
Corporate Officer |
Jul 1, 2021 | |
| Corporate Director |
Jul 1, 2021 | ||
| Michael J Tobin |
Corporate Director |
Apr 20, 2022 | |
| Cheryl Ronk |
Corporate Director |
Nov 1, 2014 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061211000089 | MI | Part a Provider - Skilled Nursing Facility | 2062496052 | Practice locations: East Lansing, MI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 339030 | MI | Yes |
Addresses
Primary practice location
2700 Burcham Dr
East Lansing, MI 48823-3898
Mailing address
2700 Burcham Dr
East Lansing, MI 48823-3898
Phone (517) 351-8377
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2587690 | Medicaid | MI |
Other names
- Burcham Hills Retirement Community
Other providers in East Lansing, MI
- Harvey Bumpers
- Michael A Bunker
- Lena Marie Bunting
- Mariah Burch
- Burcham Hills LLC
- Katherine Burdick
- Anthony Sanford Burgess
- Elizabeth Burgess
- Howard James Burgess II
- Jeanine A Burgess
All providers in East Lansing, 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 Aug 28, 2019. 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.