Our Lady of Mercy Convalescent Home, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

314010 Issued in MI

Legal business name

OUR LADY OF MERCY CONVALESCENT HOME, INC.

Doing business as

Greentree of Hubbell Rehab & Health

Practice address

52225 B Ave
Hubbell, MI 49934-9719

Phone

(906) 296-3301

Fax

(906) 296-0779

NPI assigned

Sep 20, 2005

Last updated

Sep 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Benjamin T. Friedman

Title

President

Phone

(773) 810-9450

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Greentree of Hubbell Rehab & Health Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710972344. Details of each certification follow.

• CCN 235551 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 235551

Legal name

OUR LADY OF MERCY CONVALESCENT HOME, INC

Doing business as

GREENTREE OF HUBBELL REHAB & HEALTH

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 24, 1994

Last certification

Dec 12, 2024

Beds

55

Ownership / control type

Individual

Multi-facility organization

Cedar Life Care Services

Organization structure

CorporationProprietary

Enrollment address

52225 B Ave
Hubbell, MI 49934-0369

Nursing home name

GREENTREE OF HUBBELL REHABILITATION AND HEALTH

Listed as

Greentree of Hubbell Rehabilitation and HealthCCN 235551 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Individual

Certified

Jun 24, 1994

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5547.6 residents per day on average

Penalties (3 years)

3Fines totaling $59,940

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 8

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

Owners & managing parties with NPI records 1

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

• Kelly R. Fletcher, MD

  • Family Medicine Physician
  • Hancock, MI
  • NPI 1184886137

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Kelly R. Fletcher, MD

  • Family Medicine Physician
  • Hancock, MI
  • NPI 1184886137
  NPD (past)
• Bonnie L Hafeman, M.D.

  • Family Medicine Physician
  • Laurium, MI
  • NPI 1922114271
  NPD (past)

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Kelly R. Fletcher, MD

  • Family Medicine Physician
  • Hancock, MI
  • NPI 1184886137

  Nursing home

  Care Compare affiliation
• Bonnie L Hafeman, M.D.

  • Family Medicine Physician
  • Laurium, MI
  • NPI 1922114271

  Nursing home

  Care Compare affiliation
• Dawn Renee Lee, DO

  • Family Medicine Physician
  • Laurium, MI
  • NPI 1184787772

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1710972344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52225 B AVE.",
            "address_2": "P.O. BOX 369",
            "city": "HUBBELL",
            "state": "MI",
            "postal_code": "499340369",
            "telephone_number": "906-296-3301",
            "fax_number": "906-296-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52225 B AVE",
            "city": "HUBBELL",
            "state": "MI",
            "postal_code": "499349719",
            "telephone_number": "906-296-3301",
            "fax_number": "906-296-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LADY OF MERCY CONVALESCENT HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-810-9450"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "314010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2155086",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greentree of Hubbell Rehab & Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kevin Kunkel
• Karina Madigan

• Skilled Nursing Facility in Hubbell, MI
• Providers in Hubbell, MI by specialty
• Skilled Nursing Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.

Verify at the official NPI Registry.