Organization Active NPI

Manistee County Medical Care

  • Skilled Nursing Facility
  • Manistee, MI
National Provider Identifier
1083610984
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
518510 Issued in MI
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

Updated by the provider on Mar 24, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2085295MedicaidMI
09635OtherMIBLUECROSS BLUESHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
GovernmentNon-profit
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 FacilityCCN 235003 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Government - County
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7834.5 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
23D0686743Manistee County Medical Care Facility1505 E Parkdale Avenue, Manistee, MI 49660Certificate 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
Larry Bielski Individual Managing Control - Governing Body Nov 10, 2014
Mellissa Hilliard-Johnson Individual Operational/Managerial Control Feb 28, 2022
Ryan a Sullivan Individual Operational/Managerial Control Mar 16, 2018
Adp of the SNF Feb 18, 2025
Tracy Neal Individual Operational/Managerial Control Mar 21, 2024
Hattie McElrath Individual Operational/Managerial Control Oct 1, 2017
Managing Control - Governing Body Oct 1, 2017
Joe Coleman Individual Operational/Managerial Control Jul 21, 2014
Adp of the SNF Jul 21, 2014
Shannon Cole Individual Operational/Managerial Control Sep 27, 2021
Manistee County Organization, Manistee, MI Operational/Managerial Control Jan 1, 1960
Jackie Wissner Individual Operational/Managerial Control Jul 10, 2023
Jillian Schlafley Individual Operational/Managerial Control Jul 19, 2024
Douglas Parkes Individual Operational/Managerial Control Nov 1, 2012
Managing Control - Governing BodyBoard of Directors Chairman Nov 1, 2012
Crystal Falk Individual Operational/Managerial Control Aug 26, 2024
Adp of the SNF Aug 26, 2024
Cassandra Cabot Individual Operational/Managerial Control Jul 5, 2023
Beth Taylor Individual Operational/Managerial Control Nov 13, 2008
Dawn Sekuris Individual Operational/Managerial Control Apr 24, 2023
Michael McCann Individual 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.

Practitioners & affiliated clinicians

Practitioners 3

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

Affiliated clinicians 3

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": "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

Sources for this page

Verify at the official NPI Registry.