Organization Active NPI

Jackson County Medical Care Facility

  • Skilled Nursing Facility
  • Jackson, MI
National Provider Identifier
1376535609
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
38851 Issued in MI
Legal business name
JACKSON COUNTY MEDICAL CARE FACILITY
Practice address
524 Lansing Ave
Jackson, MI 49201-2804
Phone
(517) 782-8500
Fax
(517) 789-5762
NPI assigned
Aug 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Mr. John R Steele
Title
Finance Director
Phone
(517) 782-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 38851 MI Primary

Addresses

Primary practice location

524 Lansing Ave
Jackson, MI 49201-2804

Mailing address

524 Lansing Ave
Jackson, MI 49201-2804
Phone (517) 782-8500

Other identifiers 1

IdentifierTypeStateIssuer
612085339MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030314000029 MI Part A Provider - Skilled Nursing Facility 1850200197 Practice locations: Jackson, MI

Skilled nursing facility certification: CCN 235019

Legal name
JACKSON COUNTY MEDICAL CARE FACILITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Jan 27, 2025
Beds
194
Ownership / control type
County
Organization structure
GovernmentNon-profit
Enrollment address
524 Lansing Ave
Jackson, MI 49201-2804
Nursing home name
JACKSON COUNTY MEDICAL CARE FACILITY

Care Compare: Nursing home

Medicare Care Compare
Listed as
Jackson County Medical Care FacilityCCN 235019
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
194181.2 residents per day on average
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
2Fines totaling $68,744

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Jackson County Medical Care Facility Organization, Jackson, MI Medical provider/supplier, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 1967 100%
Harry Wilson Individual Managing Control - Governing BodyBoard Chair Nov 1, 2018
Destiny K. Wilkins Individual Operational/Managerial Control Jan 1, 2019
Adp of the SNF Jul 30, 2025
Ronald L Markowski Individual Adp of the SNF Jan 1, 2014
Kenny Price Individual Managing Control - Governing BodyBoard Member Dec 20, 2022
Jennifer a. Shong Individual Operational/Managerial Control May 19, 1995
Adp of the SNF May 19, 1995
Elizabeth Youngdahl Individual Managing Control - Governing BodyBoard Member Oct 1, 2023
Jyothsna Yalavarthi Individual Operational/Managerial Control Aug 1, 2015
Adp of the SNF Jul 30, 2025

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 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": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1376535609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 LANSING AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012804",
            "telephone_number": "517-782-8500",
            "fax_number": "517-789-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 LANSING AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012804",
            "telephone_number": "517-782-8500",
            "fax_number": "517-789-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON COUNTY MEDICAL CARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "STEELE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "517-782-8500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "38851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "612085339",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.