Active NPI
Manistee County Medical Care
- Skilled Nursing Facility
- Manistee, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 518510
- Legal business name
- MANISTEE COUNTY MEDICAL CARE
- Practice address
- 1505 E Parkdale Ave
Manistee, MI 49660-9319 - Phone
- (231) 723-2543
- Fax
- (231) 723-1773
- NPI assigned
- Jun 24, 2005
- 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
- Mrs. Linda Duchon, R.N., LNHA
- Title
- Administrator
- Phone
- (231) 723-2543
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 518510 | MI | Primary |
Addresses
Primary practice location
1505 E Parkdale Ave
Manistee, MI 49660-9319
Mailing address
1505 E Parkdale Ave
Manistee, MI 49660-9319
Phone (231) 723-2543
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2085295 | Medicaid | MI | |
| 09635 | Other | MI | BLUECROSS BLUESHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080318000664 | MI | Part A Provider - Skilled Nursing Facility | 9335225275 | Practice locations: Manistee, MI |
Skilled nursing facility certification: CCN 235003
- Legal name
- MANISTEE COUNTY MEDICAL CARE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1967
- Last certification
- Oct 9, 2024
- Beds
- 78
- Ownership / control type
- County
- Organization structure
- Government
- Enrollment address
- 1505 E Parkdale Ave
Manistee, MI 49660-9319 - Nursing home name
- MANISTEE COUNTY MEDICAL CARE FACILITY
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Manistee County Medical Care Facility
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Government - County
- Certified
- Jan 1, 1967
- Medicare certification status
- Active
- Certified beds
- 78
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D0686743 | Manistee County Medical Care Facility | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Larry Bielski | Managing Control - Governing Body | Nov 10, 2014 | |
| Mellissa Hilliard-Johnson | Operational/Managerial Control | Feb 28, 2022 | |
| Ryan a Sullivan | Operational/Managerial Control | Mar 16, 2018 | |
| Adp of the SNF | Feb 18, 2025 | ||
| Tracy Neal | Operational/Managerial Control | Mar 21, 2024 | |
| Hattie McElrath | Operational/Managerial Control | Oct 1, 2017 | |
| Managing Control - Governing Body | Oct 1, 2017 | ||
| Joe Coleman | Operational/Managerial Control | Jul 21, 2014 | |
| Adp of the SNF | Jul 21, 2014 | ||
| Shannon Cole | Operational/Managerial Control | Sep 27, 2021 | |
| Manistee County | Operational/Managerial Control | Jan 1, 1960 | |
| Jackie Wissner | Operational/Managerial Control | Jul 10, 2023 | |
| Jillian Schlafley | Operational/Managerial Control | Jul 19, 2024 | |
| Douglas Parkes | Operational/Managerial Control | Nov 1, 2012 | |
| Managing Control - Governing Body | Nov 1, 2012 | ||
| Crystal Falk | Operational/Managerial Control | Aug 26, 2024 | |
| Adp of the SNF | Aug 26, 2024 | ||
| Cassandra Cabot | Operational/Managerial Control | Jul 5, 2023 | |
| Beth Taylor | Operational/Managerial Control | Nov 13, 2008 | |
| Dawn Sekuris | Operational/Managerial Control | Apr 24, 2023 | |
| Michael McCann | Operational/Managerial Control | Jul 31, 2023 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Manistee, MI
- NPI 1174605653
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Frankfort, MI
- NPI 1154466506
-
- Internal Medicine Physician
- Manistee, MI
- NPI 1174605653
-
- Internal Medicine Physician
- Manistee, MI
- NPI 1598782443
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Manistee, MI
- NPI 1750638516
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206316800000",
"number": "1083610984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 E PARKDALE AVE",
"city": "MANISTEE",
"state": "MI",
"postal_code": "496609319",
"telephone_number": "231-723-2543",
"fax_number": "231-723-1773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 E PARKDALE AVE",
"city": "MANISTEE",
"state": "MI",
"postal_code": "496609319",
"telephone_number": "231-723-2543",
"fax_number": "231-723-1773"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANISTEE COUNTY MEDICAL CARE",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-24",
"last_updated": "2008-03-24",
"status": "A",
"authorized_official_last_name": "DUCHON",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "231-723-2543",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "R.N., LNHA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MI",
"license": "518510",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2085295",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "09635",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manistee, MI
- Jeri Madsen
- Manistee Benzie Community Mental Health (Centra Wellness Network)
- Manistee Benzie Community Mental Health (Centra Wellness Network)
- Manistee Benzie Community Mental Health
- Manistee County Council on Aging
- Manistee Dermatology
- Manistee Family Health Care PLC
- Manistee Intermediate School District
- Manistee Orthopaedics
- Barbara Jean Mansfield, BSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.