Organization Active NPI

Thurston Woods Village, Inc.

  • Skilled Nursing Facility
  • Sturgis, MI
National Provider Identifier
1780633354
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
754060 Issued in MI
Legal business name
THURSTON WOODS VILLAGE, INC.
Practice address
307 N Franks Ave
Sturgis, MI 49091-1277
Phone
(269) 651-7841
Fax
(269) 651-2050
NPI assigned
May 9, 2006
Last updated
Oct 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Authorized official

Name
Kim Anderson
Title
Cfo
Phone
(269) 651-7841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 754060 MI Primary

Addresses

Primary practice location

307 N Franks Ave
Sturgis, MI 49091-1277

Mailing address

307 N Franks Ave
Sturgis, MI 49091-1277
Phone (269) 651-7841

Other identifiers 1

IdentifierTypeStateIssuer
1658966MedicaidMI

Other names 1

  • FROH COMMUNITY HOME Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111129000496 MI Part A Provider - Skilled Nursing Facility 0547393845 Practice locations: Sturgis, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780633354. Details of each certification follow.

Skilled nursing facility certification: CCN 235345

Legal name
THURSTON WOODS VILLAGE, INC.
Doing business as
FROH COMMUNITY HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1978
Last certification
May 21, 2025
Beds
65
Ownership / control type
Church Related
Organization structure
CorporationNon-profit
Incorporated
Apr 26, 1985 in MI
Enrollment address
307 N Franks Ave
Sturgis, MI 49091-1277
Nursing home name
FROH COMMUNITY HOME

Care Compare: Nursing home

Medicare Care Compare
Listed as
Froh Community HomeCCN 235345 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Church related
Certified
Jan 1, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6561.6 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0378079Thurston Woods Village307 North Franks Ave, Sturgis, MI 49091Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Reflections of Thurston Woods2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Pam Keelsar Individual Corporate Director Jan 1, 2013
Mary Kay Schultz Individual Corporate DirectorBoard Member Apr 1, 2022
Bhumit P Patel Individual Operational/Managerial Control Apr 1, 2022
Adp of the SNF Oct 22, 2025
Marcus Edward Gauthier Individual Operational/Managerial Control Oct 14, 2020
Marlene Kroeker Individual Corporate DirectorBoard Member Apr 1, 2024
Debora L. Capman Individual Corporate DirectorChairperson, Board of Directors Oct 25, 2010
Mackenzie Smith Individual Corporate DirectorBoard Member Jul 21, 2021
Kimberly Jo Bontrager Individual Corporate DirectorBoard Member Apr 1, 2024
Timothy Eugene Stoll Individual Corporate OfficerCeo & Administrator Jan 1, 2021 100%
Operational/Managerial Control Jan 1, 2021
Adp of the SNF Oct 22, 2025
Gregory W. Blucker Individual Corporate DirectorBoard of Directors Oct 25, 2010

Owners & managing parties with NPI records 1

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

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.

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": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1780633354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 N FRANKS AVE",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490911277",
            "telephone_number": "269-651-7841",
            "fax_number": "269-651-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N FRANKS AVE",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490911277",
            "telephone_number": "269-651-7841",
            "fax_number": "269-651-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THURSTON WOODS VILLAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "269-651-7841"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "754060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1658966",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FROH COMMUNITY HOME",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Sturgis, MI

Sources for this page

Verify at the official NPI Registry.