Glacier Hills Inc.
Organization Active NPI Skilled Nursing Facility · Ann Arbor, MI
NPI 1811936768 · NPPES record last updated Sep 11, 2022
Key facts
- NPI
- 1811936768
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 814110 (MI)
- Legal business name
- GLACIER HILLS INC.
- Practice address
- 1200 Earhart Rd
Ann Arbor, MI 48105-2768 - Phone
- (734) 769-6410
- Fax
- (734) 769-5958
- NPI assigned
- Jun 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Pamela Sue Latovick
- Title
- Vice President Reimbursement
- Phone
- (734) 343-6628
Owners & managing parties with NPI records 3
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Member of 1
Member organizations 1
Facilities with the same owner 161
Practitioners 4
-
Kathleen Piescic, MA,CCC,SLP
-
Hedayat Ur Rahman, P.T.
Medicare Care Compare: Nursing home
- Listed as
- Glacier Hills
- 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
- Active
- Certified beds
- 105 · 42.2 residents per day on average
- Chain
- Trinity Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
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
- Corporation · Non-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
All disclosed owners & managing parties 10
| Name | Role | Since | Share |
|---|---|---|---|
| Trinity Continuing Care Services |
5% Or Greater Direct Ownership Interest | Jul 1, 2016 | 100% |
| Marcus a Bowens |
Corporate Officer |
Mar 23, 2022 | |
| Corporate Director |
Mar 23, 2022 | ||
| Amy Byron-Oilar |
Corporate Officer |
Jul 1, 2022 | |
| Corporate Director |
Jul 1, 2022 | ||
| Benjamin McKinnon |
Operational/Managerial Control |
Jul 1, 2022 | |
| Tarun Abraham |
Corporate Officer |
Jul 1, 2022 | |
| Corporate Director |
Jul 1, 2022 | ||
| David a Defrain |
Corporate Director |
Oct 1, 2021 | |
| Dale Berry |
Corporate Officer |
Jul 1, 2022 | |
| Corporate Director |
Apr 1, 2009 | ||
| Pamela S Latovick |
W-2 Managing Employee |
Jun 1, 2017 | |
| Trinity Health Corporation |
5% Or Greater Indirect Ownership Interest | Jul 1, 2016 | 100% |
| David J Skaff |
Corporate Director |
Apr 1, 2013 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060720000102 | MI | Part a Provider - Skilled Nursing Facility | 9537172382 | Practice locations: Ann Arbor, MI |
National Provider Directory
- Tax ID family
- Baxter Regional Family Clinic
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 814110 | MI | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2080717 | Medicaid | MI | |
| 09522 | Other | MI | BLUE CROSS PROVIDER NUMBE |
Other names
- Glacier Hills
Other providers in Ann Arbor, MI
- Virginia Vereen Gitin
- Scott D Gitlin
- Sheron Gittens
- Kristen Elizabeth Gittins
- Ganiat Giwa
- Glacier Hills, Inc.
- Hannah Clyde Glanda
- Benjamin Glasener
- Lydia Glashouwer
- Joseph Edwin Glass
All providers in Ann Arbor, MI · Skilled Nursing Facility in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.