Active NPI
Burcham Hills Retirement Center II
Doing business as Burcham Hills Retirement Community
- Skilled Nursing Facility
- East Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 339030
- Legal business name
- BURCHAM HILLS RETIREMENT CENTER II
- Doing business as
- Burcham Hills Retirement Community
- Practice address
- 2700 Burcham Dr
East Lansing, MI 48823-3898 - Phone
- (517) 351-8377
- Fax
- (517) 336-1916
- NPI assigned
- Feb 9, 2006
- Last updated
- Aug 28, 2019
- 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
- James C Kaczmarczyk Jr.
- Title
- Director of Finance
- Phone
- (517) 351-4662
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 339030 | MI | Primary |
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 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2587690 | Medicaid | MI |
Other names 1
- Burcham Hills Retirement Community
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061211000089 | MI | Part A Provider - Skilled Nursing Facility | 2062496052 | Practice locations: East Lansing, MI |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1659344844. Details of each certification follow.
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
- 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
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Burcham Hills Retirement Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Nov 1, 1978
- Medicare certification status
- Active
- Certified beds
- 133
- Chain
- Life Care Services
- Penalties (3 years)
- 2
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
dba Burcham Hills Wellness and Rehabilitation
- Rehabilitation Clinic/Center
- East Lansing, MI
- NPI 1417203530
Member Of
Ownership & related parties
All disclosed owners & managing parties 19
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 |
|---|---|---|---|
| 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 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Internal Medicine) Physician
- Holt, MI
- NPI 1912936527
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 57
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba The Inn at Freedom Village
- Skilled Nursing Facility
- Holland, MI
- NPI 1245644509
Life Care Services LLC
-
dba Friendship Village
- Skilled Nursing Facility
- Kalamazoo, MI
- NPI 1649261488
Life Care Services LLC
-
dba The Pavilion at Brandon Wilde
- Skilled Nursing Facility
- Evans, GA
- NPI 1780450924
Life Care Services LLC
-
dba Bellecourt South
- Skilled Nursing Facility
- Lubbock, TX
- NPI 1275524027
Life Care Services LLC
-
dba Casa de las Campanas
- Skilled Nursing Facility
- San Diego, CA
- NPI 1770566978
Life Care Services LLC
-
dba Freedom Village at Brandywine
- Skilled Nursing Facility
- Coatesville, PA
- NPI 1255342580
Life Care Services LLC
-
dba Lake Port Square Health Center
- Skilled Nursing Facility
- Leesburg, FL
- NPI 1073927331
Life Care Services LLC
-
dba Regency Oaks Health Center
- Skilled Nursing Facility
- Clearwater, FL
- NPI 1164836425
Life Care Services LLC
-
dba Harbour Health Center
- Skilled Nursing Facility
- Port Charlotte, FL
- NPI 1376957803
Life Care Services LLC
-
dba Nursing Center at Freedom Village
- Skilled Nursing Facility
- Bradenton, FL
- NPI 1417361858
Life Care Services LLC
-
dba Cypress Village
- Skilled Nursing Facility
- Jacksonville, FL
- NPI 1790199057
Life Care Services LLC
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
dba Burcham Hills Wellness and Rehabilitation
- Rehabilitation Clinic/Center
- East Lansing, MI
- NPI 1417203530
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Dimondale, MI
- NPI 1417119892
-
- Geriatric Medicine (Internal Medicine) Physician
- Holt, MI
- NPI 1912936527
-
- Geriatric Medicine (Internal Medicine) Physician
- Lansing, MI
- NPI 1336197706
-
- Geriatric Medicine (Family Medicine) Physician
- Okemos, MI
- NPI 1033313069
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Holt, MI
- NPI 1912936527
Nursing home
-
- Geriatric Medicine (Internal Medicine) Physician
- Lansing, MI
- NPI 1336197706
Nursing home
-
- Geriatric Medicine (Family Medicine) Physician
- Okemos, MI
- NPI 1033313069
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1566950400000",
"number": "1659344844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 BURCHAM DR",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488233898",
"telephone_number": "517-351-8377",
"fax_number": "517-336-1916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 BURCHAM DR",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488233898",
"telephone_number": "517-351-8377",
"fax_number": "517-336-1916"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BURCHAM HILLS RETIREMENT CENTER II",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-09",
"last_updated": "2019-08-28",
"status": "A",
"authorized_official_last_name": "KACZMARCZYK",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "DIRECTOR OF FINANCE",
"authorized_official_telephone_number": "517-351-4662",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MI",
"license": "339030",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2587690",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Burcham Hills Retirement Community",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.