Organization Active NPI

Clinton Area Care Center, Inc

Doing business as Hazel I Findlay Country Manor

  • Skilled Nursing Facility
  • Saint Johns, MI
National Provider Identifier
1063419489
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
19-4040 Issued in MI
Legal business name
CLINTON AREA CARE CENTER, INC
Doing business as
Hazel I Findlay Country Manor
Practice address
1101 S Scott Rd
Saint Johns, MI 48879-8044
Phone
(989) 224-8936
Fax
(989) 227-8008
NPI assigned
Jun 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Authorized official

Name
Ms. Erica Holman, LNHANPI 1174206353
Title
Ceo, Lnha
Phone
(989) 224-8936

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 19-4040 MI Primary

Addresses

Primary practice location

1101 S Scott Rd
Saint Johns, MI 48879-8044

Mailing address

1101 S Scott Rd
Saint Johns, MI 48879-8044
Phone (989) 224-8936

Other identifiers 3

IdentifierTypeStateIssuer
P80436OtherMIBLUE CARE NETWORK NUMBER
2154507MedicaidMI
09585OtherMIBLUE CROSS BLUE SHIELD

Other names 1

  • Hazel I Findlay Country Manor Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110801000426 MI Part A Provider - Skilled Nursing Facility 0042489445 Practice locations: Saint Johns, MI

Skilled nursing facility certification: CCN 235602

Legal name
CLINTON AREA CARE CENTER, INC
Doing business as
HAZEL I FINDLAY COUNTRY MANOR
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 1, 2002
Last certification
Aug 29, 2024
Beds
150
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Enrollment address
1101 S Scott Rd
Saint Johns, MI 48879-8044
Nursing home name
HAZEL I FINDLAY COUNTRY MANOR

Care Compare: Nursing home

Medicare Care Compare
Listed as
Hazel I Findlay Country ManorCCN 235602 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Mar 1, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
150104.9 residents per day on average

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
23D0376112Hazel I Findlay Country Manor1101 S Scott Road, Saint Johns, MI 48879Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Bailey Zimmerman Individual Operational/Managerial Control Sep 29, 2024
Alt Long Term Care Consulting, LLC Organization, Grand Rapids, MI LLC, Consulting firm Adp of the SNF May 1, 2024
Paul D Minnick Individual Corporate Director Jan 1, 2019
Operational/Managerial Control Jan 1, 2019
Adp of the SNF Feb 1, 2014
Kari Lynn Sodman-Orth Individual Corporate OfficerAdministrator/Ceo Jul 1, 2024
Operational/Managerial Control Jul 1, 2024
Adp of the SNF Jun 27, 2025
Financial Architects, Inc. Organization, Jenison, MI Corporation, Investment firm Adp of the SNF Nov 22, 2024
Marylu Boettger Individual Corporate Director May 1, 2012
Sandra Fossano Individual Operational/Managerial Control Mar 14, 2022
David Kudwa Individual Corporate Director Jun 15, 2021
Robert Kudwa Individual Corporate Director Jun 15, 2021
Molly a Minnick Individual Corporate Director Jun 18, 2024
Sarah Robbins Individual Corporate Director May 14, 2024
Allan Soros Individual Corporate Director Apr 1, 2022
Amy Jo Stoll Individual Operational/Managerial Control Jul 30, 2020
Ronald O'Connor Individual Operational/Managerial Control Apr 29, 2024
Kimberly Higbie Individual Operational/Managerial Control Dec 1, 2021
Claire Feldpausch Individual Operational/Managerial Control Jan 10, 2022

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 4

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": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1063419489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S SCOTT RD",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488798044",
            "telephone_number": "989-224-8936",
            "fax_number": "989-227-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S SCOTT RD",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488798044",
            "telephone_number": "989-224-8936",
            "fax_number": "989-227-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON AREA CARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "HOLMAN",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "CEO, LNHA",
        "authorized_official_telephone_number": "989-224-8936",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "19-4040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK NUMBER",
            "identifier": "P80436",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2154507",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09585",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hazel I Findlay Country Manor",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hazel I Findlay Country Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Johns, MI

Sources for this page

Verify at the official NPI Registry.