Organization Active NPI

Emmet County Medical Care Facility

  • Skilled Nursing Facility
  • Harbor Springs, MI
National Provider Identifier
1124025440
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
248510 Issued in MI
Legal business name
EMMET COUNTY MEDICAL CARE FACILITY
Practice address
750 E Main St
Harbor Springs, MI 49740-1548
Phone
(231) 526-4403
Fax
(231) 526-5252
NPI assigned
Jul 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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

Authorized official

Name
Mrs. Diana Bailey
Title
Adminsitrator
Phone
(231) 526-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 248510 MI Primary

Addresses

Primary practice location

750 E Main St
Harbor Springs, MI 49740-1548

Mailing address

750 E Main St
Harbor Springs, MI 49740-1548
Phone (231) 526-4403

Other identifiers 3

IdentifierTypeStateIssuer
09615OtherMIBCBSM
09615OtherMIMEDICARE ADVANTAGE
5189702MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030923000023 MI Part A Provider - Skilled Nursing Facility 0345151353 Practice locations: Harbor Springs, MI

Skilled nursing facility certification: CCN 235033

Legal name
EMMET COUNTY MEDICAL CARE FACILITY
Doing business as
BAY BLUFFS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Apr 17, 2025
Beds
120
Ownership / control type
County
Organization structure
OtherNon-profit
Enrollment address
750 E Main St
Harbor Springs, MI 49740-1548
Nursing home name
BAY BLUFFS-EMMET COUNTY MEDICAL CARE FACILITY

Care Compare: Nursing home

Medicare Care Compare
Listed as
Bay Bluffs-Emmet County Medical Care FacilityCCN 235033 · All quality measures
Overall star rating
4 of 5
Health inspections
2 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Government - County
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12072.2 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Lisa Ashley Individual Operational/Managerial Control Oct 14, 2014
Adp of the SNF Nov 18, 2025
Carol Hansen Individual Corporate DirectorBoard Member Dec 1, 2018 100%
Craig Lively Individual Corporate DirectorBoard Member Nov 28, 2022 100%
Manuel Cordova Individual Corporate DirectorBoard Member Oct 29, 2020 100%
Sherry L Becker Individual Operational/Managerial Control Jul 26, 1983
Paul D Blanchard Individual Adp of the SNF May 1, 2009
County of Emmet Organization, Petoskey, MI 5% Or Greater Direct Ownership Interest Jun 1, 1966 100%
Adp of the SNF Jun 1, 1966

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 1

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": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1124025440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E MAIN ST",
            "city": "HARBOR SPRINGS",
            "state": "MI",
            "postal_code": "497401548",
            "telephone_number": "231-526-4403",
            "fax_number": "231-526-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E MAIN ST",
            "city": "HARBOR SPRINGS",
            "state": "MI",
            "postal_code": "497401548",
            "telephone_number": "231-526-4403",
            "fax_number": "231-526-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMET COUNTY MEDICAL CARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "ADMINSITRATOR",
        "authorized_official_telephone_number": "231-526-4400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "248510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "09615",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ADVANTAGE",
            "identifier": "09615",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5189702",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harbor Springs, MI

Sources for this page

Verify at the official NPI Registry.