County of Bay
Organization Active NPI Skilled Nursing Facility · Essexville, MI
NPI 1376546366 · NPPES record last updated Mar 10, 2025
Key facts
- NPI
- 1376546366
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 098510 (MI)
- Legal business name
- COUNTY OF BAY
- Practice address
- 564 W Hampton Rd
Essexville, MI 48732-9710 - Phone
- (989) 892-3591
- Fax
- (989) 892-6991
- NPI assigned
- May 24, 2005
- Organization subpart
- Yes
- Parent organization (as reported)
- BAY COUNTY MEDICAL CARE FACILITY
Authorized official
- Name
- Mr. Kyle Weidman
- Title
- Administrator
- Phone
- (989) 459-1032
Owners & managing parties with NPI records 2
-
Tazeen Ahmed, MD
Other NPIs with the same Medicare PAC ID 1
Member organizations 1
Practitioners 1
-
Tazeen Ahmed, MD
Affiliated clinicians 1
-
Tazeen Ahmed, MD
Medicare Care Compare: Nursing home
- Listed as
- Bay County Medical Care Facility
- Overall star rating
- ★★☆☆☆ 2 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- Government - County
- Certified
- Jan 1, 1967
- Medicare certification status
- Active
- Certified beds
- 161 · 93.7 residents per day on average
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 4 · fines totaling $165,536
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D0683189 | Bay County Medical Care Facility | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Skilled nursing facility certification: CCN 235044
- Legal name
- COUNTY OF BAY
- Doing business as
- BAY COUNTY MEDICAL CARE FACILITY
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1967
- Last certification
- Apr 17, 2025
- Beds
- 206 (161 certified)
- Ownership / control type
- County
- Organization structure
- Government · Non-profit
- Enrollment address
- 564 W Hampton Rd
Essexville, MI 48732-9710 - Nursing home name
- BAY COUNTY MEDICAL CARE FACILITY
All disclosed owners & managing parties 4
| Name | Role | Since | Share |
|---|---|---|---|
| Tazeen Ahmed |
Operational/Managerial Control | Jan 1, 2018 | |
| Adp of the SNF | Jan 1, 2018 | ||
| Jacqueline McCarthy |
Corporate Officer |
Jun 1, 2021 | 100% |
| Adp of the SNF | Jun 1, 2021 | ||
| Kyle Weidman |
Corporate Director |
Dec 12, 2022 | 100% |
| Operational/Managerial Control | Dec 12, 2022 | ||
| Adp of the SNF | Dec 12, 2022 | ||
| County of Bay |
5% Or Greater Direct Ownership Interest | May 1, 1966 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050906000393 | MI | Part a Provider - Skilled Nursing Facility | 9739125899 | Practice locations: Essexville, MI |
National Provider Directory
- Part of
- Bay County Medical Care Facility
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 098510 | MI | Yes |
Addresses
Primary practice location
564 W Hampton Rd
Essexville, MI 48732-9710
Mailing address
564 W Hampton Rd
Essexville, MI 48732-9710
Phone (989) 892-3591
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 690353780 | Other | MI | STATE I.D. |
| 09567 | Other | MI | BCBS OF MI |
| 2085123 | Medicaid | MI |
Other names
- BAY COUNTY MEDICAL CARE FACILITY
Other providers in Essexville, MI
- Chain of Love Transport Inc
- Mitchel Christensen
- Kailey Christin Clinesmith
- Sara Collins
- Jaden Leticia Condon
- Jill Ann Covyeou
- Heidi Ann Dahn
- Darrell M. Sheets, DMD PLC
- Jonathan A Dereszynski
- Merri Desanto
All providers in Essexville, MI · Skilled Nursing Facility in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.