Active NPI
Wood Care VIII Inc
Doing business as Caretel Inns of Tri-Cities
- Skilled Nursing Facility
- Bay City, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1070000431
- Legal business name
- WOOD CARE VIII INC
- Doing business as
- Caretel Inns of Tri-Cities
- Practice address
- 6700 Westside Saginaw Rd
Bay City, MI 48706-9325 - Phone
- (989) 667-9800
- Fax
- (989) 667-5900
- NPI assigned
- Dec 12, 2006
- Last updated
- Mar 20, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly M. Tackett
- Title
- President
- Phone
- (248) 543-7300
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | NU | ||
| Skilled Nursing Facility | 314000000X | 1070000431 | MI | Primary |
Addresses
Primary practice location
6700 Westside Saginaw Rd
Bay City, MI 48706-9325
Mailing address
910 S Washington Ave
Royal Oak, MI 48067-3216
Phone (248) 543-7300
Other names 1
- Caretel Inns of Tri-Cities
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc |
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070321000559 | MI | Part A Provider - Skilled Nursing Facility | 7416050976 | Practice locations: Bay City, MI |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1881755262. Details of each certification follow.
Skilled nursing facility certification: CCN 235635
- Legal name
- WOOD CARE VIII INC
- Doing business as
- CARETEL INNS OF TRI-CITIES
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Oct 25, 2007
- Last certification
- Jul 17, 2024
- Beds
- 60
- Ownership / control type
- Corporation
- Multi-facility organization
- Symphony Care Network
- Organization structure
- Corporation
- Incorporated
- Jan 27, 1988 in MI
- Enrollment address
- 6700 Westside Saginaw Rd
Bay City, MI 48706-9325 - Nursing home name
- CARETEL INNS OF TRI-CITIES
- Affiliated entity
- SYMPHONY CARE NETWORK
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Caretel Inns of Tri-Cities
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Oct 25, 2007
- Medicare certification status
- Active
- Certified beds
- 60
- Chain
- Symphony Care Network
- Penalties (3 years)
- 4
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Benoit Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jun 1, 2020 | 20% |
| Calumet South LLC | 5% Or Greater Indirect Ownership Interest | Jun 1, 2020 | 5% |
| Fairhome Trust Uad 12312012 | 5% Or Greater Indirect Ownership Interest | Jun 1, 2020 | 20% |
| Willow Delta Trust | 5% Or Greater Indirect Ownership Interest | Jun 1, 2020 | 15% |
| David Hartman | 5% Or Greater Indirect Ownership Interest | Jun 1, 2020 | 30% |
| Corporate Officer | Jun 1, 2020 | ||
| Operational/Managerial Control | Jun 1, 2020 | ||
| GZLT Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jun 1, 2020 | 10% |
| Drake Louis Enterprise, LLC | 5% Or Greater Indirect Ownership Interest | Jun 1, 2020 | 30% |
| Diane McGourty | W-2 Managing Employee | Jan 30, 2020 | |
| Yossi Senderowicz | 5% Or Greater Indirect Ownership Interest | Jun 1, 2020 | 5% |
| Aria Consulting Services LLC | Other | Sep 1, 2019 | |
| Symphony of Michigan Holdings LLC | 5% Or Greater Direct Ownership Interest | Jun 1, 2020 | 100% |
| Mark Hartman | 5% Or Greater Indirect Ownership Interest | Jun 1, 2020 | 20% |
| Ari P Krupp | 5% Or Greater Indirect Ownership Interest | Sep 1, 2019 | 10% |
| Corporate Officer | Sep 1, 2019 | ||
| Operational/Managerial Control | Sep 1, 2019 |
Facilities with the same owner 7
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Woodhaven, MI
- NPI 1063586923
Benoit Holdings LLC, Calumet South LLC, Drake Louis Enterprise, LLC, Fairhome Trust Uad 12312012, GZLT Holdings LLC, Symphony of Michigan Holdings LLC, Willow Delta Trust
-
dba Coventry House Inn
- Nursing Facility/Intermediate Care Facility
- Saint Joseph, MI
- NPI 1801962097
Benoit Holdings LLC, Calumet South LLC, Drake Louis Enterprise, LLC, Fairhome Trust Uad 12312012, GZLT Holdings LLC, Symphony of Michigan Holdings LLC, Willow Delta Trust
-
dba Caretel Inns of Brighton
- Skilled Nursing Facility
- Brighton, MI
- NPI 1275609877
Benoit Holdings LLC, Calumet South LLC, Drake Louis Enterprise, LLC, Fairhome Trust Uad 12312012, GZLT Holdings LLC, Symphony of Michigan Holdings LLC, Willow Delta Trust
-
dba Caretel Inns of Linden
- Skilled Nursing Facility
- Linden, MI
- NPI 1730386665
Benoit Holdings LLC, Calumet South LLC, Drake Louis Enterprise, LLC, Fairhome Trust Uad 12312012, GZLT Holdings LLC, Symphony of Michigan Holdings LLC, Willow Delta Trust
-
- Skilled Nursing Facility
- Dyer, IN
- NPI 1427834597
Drake Louis Enterprise, LLC
-
dba Maple Crest Care Centre
- Skilled Nursing Facility
- Belvidere, IL
- NPI 1427325778
Drake Louis Enterprise, LLC, Willow Delta Trust
-
dba Northwoods Care Centre
- Skilled Nursing Facility
- Belvidere, IL
- NPI 1407124811
Drake Louis Enterprise, LLC, Willow Delta Trust
Practitioners & affiliated clinicians
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.
-
- Internal Medicine Physician
- Bay City, MI
- NPI 1720052020
-
- Internal Medicine Physician
- Saginaw, MI
- NPI 1881896975
-
- Internal Medicine Physician
- Livonia, MI
- NPI 1386089472
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": "1165881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742428800000",
"number": "1881755262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 S WASHINGTON AVE",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480673216",
"telephone_number": "248-543-7300",
"fax_number": "248-399-5300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6700 WESTSIDE SAGINAW RD",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487069325",
"telephone_number": "989-667-9800",
"fax_number": "989-667-5900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOOD CARE VIII INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-12",
"last_updated": "2025-03-20",
"certification_date": "2025-03-20",
"status": "A",
"authorized_official_last_name": "TACKETT",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-543-7300"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MI",
"license": "1070000431",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1066.1",
"affiliationName": "eSolutions Inc",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "other",
"address_1": "8215 W 108th Ter",
"city": "Overland Park",
"state": "KS",
"country_code": "US",
"postal_code": "662101661",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1066.1",
"affiliationName": "eSolutions Inc",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD EMDR",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CSV",
"address_1": "8215 W 108th Ter",
"city": "Overland Park",
"state": "KS",
"country_code": "US",
"postal_code": "662101661",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Caretel Inns of Tri-Cities",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bay City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.