NPIMap

Organization Active NPI

Glacier Hills Inc.

Doing business as Glacier Hills

  • Skilled Nursing Facility
  • Ann Arbor, MI
National Provider Identifier
1811936768
Registry record updated Sep 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
814110 Issued in MI
Legal business name
GLACIER HILLS INC.
Doing business as
Glacier Hills
Practice address
1200 Earhart Rd
Ann Arbor, MI 48105-2768
Phone
(734) 769-6410
Fax
(734) 769-5958
NPI assigned
Jun 6, 2006
Last updated
Sep 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2022

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

Authorized official

Name
Pamela Sue Latovick
Title
Vice President Reimbursement
Phone
(734) 343-6628

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 814110 MI Primary

Addresses

Primary practice location

1200 Earhart Rd
Ann Arbor, MI 48105-2768

Mailing address

1200 Earhart Rd
Ann Arbor, MI 48105-2768
Phone (734) 769-6410

Other names 1

  • Glacier Hills Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060720000102 MI Part A Provider - Skilled Nursing Facility 9537172382 Practice locations: Ann Arbor, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811936768. Details of each certification follow.

Skilled nursing facility certification: CCN 235223

Legal name
GLACIER HILLS INC.
Doing business as
GLACIER HILLS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jan 1, 1976
Last certification
Mar 19, 2025
Beds
105
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Trinity Continuing Care Services
Organization structure
CorporationNon-profit
Incorporated
Apr 6, 1966 in MI
Enrollment address
1200 Earhart Rd
Ann Arbor, MI 48105-2768
Nursing home name
GLACIER HILLS
Affiliated entity
TRINITY HEALTH

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Glacier HillsCCN 235223 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 1, 1976
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10542.2 residents per day on average
Chain
Trinity Health19 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Baxter Regional Family Clinic2 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 of 1

Organizations this organization is a member of, according to 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
Trinity Continuing Care Services Organization, Livonia, MI Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2016 100%
Marcus a Bowens Individual Corporate OfficerTreasurer, Interim President & Ceo Mar 23, 2022
Corporate DirectorBoard Member Mar 23, 2022
Amy Byron-Oilar Individual Corporate OfficerChair Jul 1, 2022
Corporate DirectorBoard Member Jul 1, 2022
Benjamin McKinnon Individual Operational/Managerial ControlAdministrator Jul 1, 2022
Tarun Abraham Individual Corporate OfficerVice-Chair Jul 1, 2022
Corporate DirectorBoard Member Jul 1, 2022
David a Defrain Individual Corporate DirectorVice President of Finance Oct 1, 2021
Dale Berry Individual Corporate OfficerSecretary Jul 1, 2022
Corporate DirectorBoard Member Apr 1, 2009
Pamela S Latovick Individual W-2 Managing EmployeeVP Reimbursement Jun 1, 2017
Trinity Health Corporation Organization, Livonia, MI Corporation, Holding company, Non-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2016 100%
David J Skaff Individual Corporate DirectorBoard Member Apr 1, 2013

Owners & managing parties with NPI records 3

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

Facilities with the same owner 161

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 161

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662854400000",
    "number": "1811936768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 EARHART RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481052768",
            "telephone_number": "734-769-6410",
            "fax_number": "734-769-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 EARHART RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481052768",
            "telephone_number": "734-769-6410",
            "fax_number": "734-769-5958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLACIER HILLS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2022-09-11",
        "certification_date": "2022-09-11",
        "status": "A",
        "authorized_official_last_name": "LATOVICK",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "VICE PRESIDENT REIMBURSEMENT",
        "authorized_official_telephone_number": "734-343-6628"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "814110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glacier Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.