NPIMap

Organization Active NPI

Marwood Manor Nursing Home

Doing business as Marwood Nursing & Rehab

  • Skilled Nursing Facility
  • Port Huron, MI
National Provider Identifier
1831149855
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
744010 Issued in MI
Legal business name
MARWOOD MANOR NURSING HOME
Doing business as
Marwood Nursing & Rehab
Practice address
1300 Beard St
Port Huron, MI 48060-6562
Phone
(810) 982-9500
Fax
(810) 982-5369
NPI assigned
May 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Brian Oberly
Title
Administrator
Phone
(810) 966-5381

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 744010 MI Primary

Addresses

Primary practice location

1300 Beard St
Port Huron, MI 48060-6562

Mailing address

1300 Beard St
Port Huron, MI 48060-6562
Phone (810) 982-9500

Other names 1

  • Marwood Nursing & Rehab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030425000034 MI Part A Provider - Skilled Nursing Facility 5395654164 Practice locations: Port Huron, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831149855. Details of each certification follow.

Skilled nursing facility certification: CCN 235369

Legal name
MARWOOD MANOR NURSING HOME
Doing business as
MARWOOD NURSING & REHAB
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 1, 1978
Last certification
Jul 11, 2024
Beds
240
Ownership / control type
Nonprofit Corporation
Multi-facility organization
McLaren Healthcare
Organization structure
CorporationNon-profit
Incorporated
Jul 22, 1986 in MI
Enrollment address
1300 Beard St
Port Huron, MI 48060-6562
Nursing home name
MARWOOD MANOR NURSING HOME

Care Compare: Nursing home

Medicare Care Compare
Listed as
Marwood Manor Nursing HomeCCN 235369 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Mar 1, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
240207.7 residents per day on average
Penalties (3 years)
1Fines totaling $27,706

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
23D0364230Marwood Manor1300 Beard, Port Huron, MI 48060Certificate of waiverAug 31, 2026

National Provider Directory

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 13

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

NameRoleSinceShare
Franklin J Mortimer Individual Corporate DirectorBoard Member Feb 25, 2014
Trustee of the SNF Feb 25, 2014
Brian Oberly Individual Corporate DirectorCeo Nov 29, 2004
Operational/Managerial Control Nov 29, 2004
Trustee of the SNF Nov 29, 2004
Adp of the SNF Feb 19, 2025
Eric Cecava Individual Corporate DirectorPresident & Ceo McLaren Port Huron Aug 1, 2020
Trustee of the SNF Aug 1, 2020
John I Jarad Individual Corporate DirectorMedical Director Apr 1, 2011
Operational/Managerial Control Apr 1, 2011
Trustee of the SNF Apr 1, 2011
Adp of the SNF Apr 9, 2025
Eileen Koppinger Individual Corporate DirectorTrustee Feb 14, 2025
Trustee of the SNF Feb 14, 2025
Tracy Dunsmore Individual Corporate DirectorTrustee Feb 14, 2025
Trustee of the SNF Feb 14, 2025
Anil Kumar R Patel Individual Corporate Director Feb 9, 2021
Trustee of the SNF Feb 9, 2021
Thomas J Seppo Individual Corporate DirectorDirector Dec 8, 2015
Trustee of the SNF Dec 8, 2015
Geoffry Kusch Individual Corporate DirectorBoard Member Sep 25, 2012
Trustee of the SNF Sep 25, 2012
Scott Crawford Individual Corporate DirectorBoard Member Jan 17, 2018
Trustee of the SNF Jan 17, 2018
McLaren Health Care Corporation Organization, Grand Blanc, MI Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Jan 1, 1987 100%
Adp of the SNF Jan 1, 1987
Indirect Ownership Interest Jan 1, 1987 100%
Aaron Faust Individual Corporate DirectorTrustee Feb 14, 2025
Trustee of the SNF Feb 14, 2025
McLaren Port Huron Organization, Port Huron, MI Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 1987 100%
Direct Ownership Interest Jan 1, 1987 100%

Owners & managing parties with NPI records 4

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

  • John Imad Jarad, M.D.
    • Geriatric Medicine (Internal Medicine) Physician
    • Port Huron, MI
    • NPI 1245235654

    Adp of the SNF, Corporate Director, Operational/Managerial Control, Trustee of the SNF

    CMS ownership
  • McLaren Port Huron

    dba Port Huron Hospital Physician GRP

    • Psychiatry Physician
    • Port Huron, MI
    • NPI 1386888170

    5% Or Greater Direct Ownership Interest, Direct Ownership Interest

    CMS ownership
  • McLaren Port Huron
    • Psychiatric Hospital
    • Port Huron, MI
    • NPI 1780756627

    5% Or Greater Direct Ownership Interest, Direct Ownership Interest

    CMS ownership
  • McLaren Port Huron
    • General Acute Care Hospital
    • Port Huron, MI
    • NPI 1982685384

    5% Or Greater Direct Ownership Interest, Direct Ownership Interest

    CMS ownership

Facilities with the same owner 58

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

View all 58

Practitioners & affiliated clinicians

Practitioners 5

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 7

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": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831149855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 BEARD ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480606562",
            "telephone_number": "810-982-9500",
            "fax_number": "810-982-5369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 BEARD ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480606562",
            "telephone_number": "810-982-9500",
            "fax_number": "810-982-5369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARWOOD MANOR NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OBERLY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "810-966-5381",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "744010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marwood Nursing & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Huron, MI

Sources for this page

Verify at the official NPI Registry.