Adrian Mi SNF Management LLC
Organization Active NPI Skilled Nursing Facility · Adrian, MI
NPI 1982183042 · NPPES record last updated May 20, 2020
Key facts
- NPI
- 1982183042
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- ADRIAN MI SNF MANAGEMENT LLC
- Practice address
- 130 Sand Creek Hwy
Adrian, MI 49221-9129 - Phone
- (517) 265-6554
- NPI assigned
- Aug 9, 2018
- Organization subpart
- No
Authorized official
- Name
- Mr. Aaron Friedman
- Title
- Manager
- Phone
- (514) 777-3539
Owners & managing parties with NPI records 1
Facilities with the same owner 2
Practitioners 4
-
Hassan Issa Baiz, M.D.
-
Bhikam C Mehta, M.D.
Affiliated clinicians 1
Medicare Care Compare: Nursing home
- Listed as
- Springcreek Rehabilitation and Nursing Center
- Overall star rating
- ★★☆☆☆ 2 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★★★☆☆ 3 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- May 2, 1991
- Medicare certification status
- Active
- Certified beds
- 113 · 90.7 residents per day on average
- Chain
- Avon Healthcare
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Skilled nursing facility certification: CCN 235504
- Legal name
- ADRIAN MI SNF MANAGEMENT LLC
- Doing business as
- SPRINGCREEK REHABILITATION AND NURSING CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- May 2, 1991
- Last certification
- Dec 20, 2024
- Beds
- 113
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC · Proprietary
- Enrollment address
- 130 Sand Creek Hwy
Adrian, MI 49221-9129 - Nursing home name
- SPRINGCREEK REHABILITATION AND NURSING CENTER
- Affiliated entity
- AVON HEALTHCARE
All disclosed owners & managing parties 15
| Name | Role | Since | Share |
|---|---|---|---|
| Eliyahu M Freund |
5% Or Greater Indirect Ownership Interest | May 10, 2022 | 45% |
| Corporate Officer |
May 10, 2022 | ||
| Adp of the SNF | May 10, 2022 | ||
| Indirect Ownership Interest | May 10, 2022 | 45% | |
| |
Adp of the SNF | May 10, 2022 | |
| Direct Ownership Interest | May 10, 2022 | 100% | |
| Joshua Koenig |
5% Or Greater Indirect Ownership Interest | May 10, 2022 | 7.5% |
| Adp of the SNF | May 10, 2022 | ||
| Indirect Ownership Interest | May 10, 2022 | 7.5% | |
| |
Indirect Ownership Interest | May 10, 2022 | 2.5% |
| Renewal Healthcare LLC |
5% Or Greater Direct Ownership Interest | May 10, 2022 | 100% |
| Direct Ownership Interest | May 1, 2022 | 100% | |
| Sandra Heidger |
Operational/Managerial Control | Aug 22, 2024 | |
| Illuminate HC LLC |
Operational/Managerial Control | Jan 1, 2022 | 100% |
| Adrian Propco |
Adp of the SNF | May 10, 2022 | |
| Kellie Johncox |
Operational/Managerial Control | Jun 9, 2022 | |
| Adp of the SNF | Jun 9, 2022 | ||
| Jyothsna Yalavarthi |
Operational/Managerial Control | Jan 10, 2025 | |
| Adp of the SNF | Aug 26, 2025 | ||
| Eliyahu Frankel |
Corporate Officer |
Oct 1, 2018 | |
| Operational/Managerial Control |
Oct 1, 2018 | ||
| |
Adp of the SNF | May 10, 2022 | |
| Indirect Ownership Interest | May 10, 2022 | 22.5% | |
| Moshe S Gottlieb |
5% Or Greater Indirect Ownership Interest | May 10, 2022 | 45% |
| Adp of the SNF | May 10, 2022 | ||
| |
Adp of the SNF | May 10, 2022 | |
| Dana Scratch |
Corporate Director |
Feb 1, 2022 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181031001431 | MI | Part a Provider - Skilled Nursing Facility | 8527311034 | Practice locations: Adrian, MI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
130 Sand Creek Hwy
Adrian, MI 49221-9129
Mailing address
7077 Av Du Parc
Suite 600
Montreal, QUEBEC H3N1X7
CA
Other names
- The Oasis at Adrian Rehabilitation and Nursing Center
Other providers in Adrian, MI
- Adrian Eye Care, LLC
- Adrian Eye Care, LLC
- Adrian Hearing Center
- Adrian Investments & Associates, LLC
- Adrian Massage Therapy
- Adrian Orthopedics PC
- Adrian Pharmacy LLC
- Adrian Psychotherapy Assoc PC
- Adrian Therapeutic Massage
- Adrian Urgent Care PLLC
All providers in Adrian, 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 May 20, 2020. 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.