Lapeer County Medical Care Facility

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

448510 Issued in MI

Legal business name

LAPEER COUNTY MEDICAL CARE FACILITY

Practice address

1455 Suncrest Dr
Lapeer, MI 48446-1151

Phone

(810) 664-8571

Fax

(810) 664-1677

NPI assigned

Aug 31, 2005

Last updated

Apr 2, 2009By 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

Mr. Gary L. Easton, M.A., N.H.A.

Title

Administrator

Phone

(810) 664-8571

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1760475123. Details of each certification follow.

• CCN 235058 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 235058

Legal name

LAPEER COUNTY MEDICAL CARE FACILITY

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1967

Last certification

Feb 25, 2025

Beds

202

Ownership / control type

County

Organization structure

GovernmentNon-profit

Enrollment address

1455 Suncrest Dr
Lapeer, MI 48446-1151

Nursing home name

LAPEER COUNTY MEDICAL CARE FACILITY

Listed as

Lapeer County Medical Care FacilityCCN 235058 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

4 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

Government - County

Certified

Jan 1, 1967

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

202165.7 residents per day on average

Penalties (3 years)

2Fines totaling $68,445

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• County of Lapeer

  • Community/Behavioral Health Agency
  • Lapeer, MI
  • NPI 1275585929

  Member Of

  NPD member

All disclosed owners & managing parties 4

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 3

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

• County of Lapeer

  • Community Health Registered Nurse
  • Lapeer, MI
  • NPI 1013088079

  5% Or Greater Direct Ownership Interest

  CMS ownership
• County of Lapeer

  • Community/Behavioral Health Agency
  • Lapeer, MI
  • NPI 1275585929

  5% Or Greater Direct Ownership Interest

  CMS ownership
• County of Lapeer

  dba Alcohol Information and Counseling Center

  • Addiction (Substance Use Disorder) Counselor
  • Lapeer, MI
  • NPI 1487741286

  5% Or Greater Direct Ownership Interest

  CMS ownership

Practitioners 3

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.

• Hisham Ibrahim Ahmed, M.D.

  • Internal Medicine Physician
  • Lapeer, MI
  • NPI 1568486413
  NPD (past)
• Mayo Mitsuya, DO

  • Surgery Physician
  • Lapeer, MI
  • NPI 1164788386
  NPD (past)
• Edward Christy, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Daytona Beach, FL
  • NPI 1750304945
  NPD (past)

Affiliated clinicians 2

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

• Hisham Ibrahim Ahmed, M.D.

  • Internal Medicine Physician
  • Lapeer, MI
  • NPI 1568486413

  Nursing home

  Care Compare affiliation
• Mayo Mitsuya, DO

  • Surgery Physician
  • Lapeer, MI
  • NPI 1164788386

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238630400000",
    "number": "1760475123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 SUNCREST DR",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484461151",
            "telephone_number": "810-664-8571",
            "fax_number": "810-664-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 SUNCREST DR",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484461151",
            "telephone_number": "810-664-8571",
            "fax_number": "810-664-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAPEER COUNTY MEDICAL CARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2009-04-02",
        "status": "A",
        "authorized_official_last_name": "EASTON",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "810-664-8571",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A., N.H.A."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "448510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS PROVIDER NUMB",
            "identifier": "0001455",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2085320",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER NUMBER",
            "identifier": "09650",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lapeer County Health Department
• Lapeer County Health Department
• Lapeer County Intermediate School District
• Lapeer County Jail
• Lapeer County Kind (Kids in New Directions)
• Lapeer County Surgery Center LLC
• Lapeer Dental Associates
• Lapeer Dental Centre MGT Inc
• Lapeer Emergency Physicians PC
• Lapeer Eye Clinic PC

• Skilled Nursing Facility in Lapeer, MI
• Providers in Lapeer, 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 Apr 2, 2009; 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.