Provider Demographics
NPI:1417942103
Name:PEPLINSKI INVESTMENT INC
Entity Type:Organization
Organization Name:PEPLINSKI INVESTMENT INC
Other - Org Name:HURON WOODS NURSING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHADE
Authorized Official - Suffix:
Authorized Official - Credentials:NHA
Authorized Official - Phone:989-684-3210
Mailing Address - Street 1:1395 S HURON RD
Mailing Address - Street 2:
Mailing Address - City:KAWKAWLIN
Mailing Address - State:MI
Mailing Address - Zip Code:48631-9485
Mailing Address - Country:US
Mailing Address - Phone:989-684-3210
Mailing Address - Fax:989-684-6909
Practice Address - Street 1:1395 S HURON RD
Practice Address - Street 2:
Practice Address - City:KAWKAWLIN
Practice Address - State:MI
Practice Address - Zip Code:48631-9485
Practice Address - Country:US
Practice Address - Phone:989-684-3210
Practice Address - Fax:989-684-6909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI094030314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2155095Medicaid
MI235592Medicare ID - Type Unspecified