Active NPI
Jackson County Medical Care Facility
- Skilled Nursing Facility
- Jackson, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 38851
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 612085339 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Government
- 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 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
- 194
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 2
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Jackson County Medical Care Facility | 5% Or Greater Direct Ownership Interest | Jan 1, 1967 | 100% |
| Harry Wilson | Managing Control - Governing Body | Nov 1, 2018 | |
| Destiny K. Wilkins | Operational/Managerial Control | Jan 1, 2019 | |
| Adp of the SNF | Jul 30, 2025 | ||
| Ronald L Markowski | Adp of the SNF | Jan 1, 2014 | |
| Kenny Price | Managing Control - Governing Body | Dec 20, 2022 | |
| Jennifer a. Shong | Operational/Managerial Control | May 19, 1995 | |
| Adp of the SNF | May 19, 1995 | ||
| Elizabeth Youngdahl | Managing Control - Governing Body | Oct 1, 2023 | |
| Jyothsna Yalavarthi | 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.
-
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1003811662
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1003811662
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1003811662
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.