Active NPI
Smith-Jamieson Inc.
Doing business as jamieson nursing home
- Nursing Facility/Intermediate Care Facility
- Harrisville, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 014010
- Legal business name
- SMITH-JAMIESON INC.
- Doing business as
- jamieson nursing home
- Practice address
- 790 S US 23
Harrisville, MI 48740-9502 - Phone
- (989) 724-6889
- Fax
- (989) 724-5231
- NPI assigned
- Sep 29, 2005
- Last updated
- Aug 22, 2020
- 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
- Mrs. Sally J Smith, LPN
- Title
- President - Administrator
- Phone
- (989) 724-6889
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 014010 | MI | Primary |
Addresses
Primary practice location
790 S US 23
Harrisville, MI 48740-9502
Mailing address
PO Box 369
Harrisville, MI 48740-0369
Phone (989) 724-6889
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2154427 | Medicaid | MI |
Other names 1
- jamieson nursing home
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061212000292 | MI | Part A Provider - Skilled Nursing Facility | 4183623523 | Practice locations: Harrisville, MI |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1609863224. Details of each certification follow.
Skilled nursing facility certification: CCN 235628
- Legal name
- SMITH-JAMIESON INC
- Doing business as
- SMITH-JAMIESON INC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 16, 2007
- Last certification
- Jan 24, 2025
- Beds
- 39
- Ownership / control type
- Corporation
- Organization structure
- Corporation
- Enrollment address
- 790 S US 23
Harrisville, MI 48740-9502 - Nursing home name
- JAMIESON NURSING HOME
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Jamieson Nursing Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- May 16, 2007
- Medicare certification status
- Active
- Certified beds
- 39
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D0899225 | Jamieson Nursing Home | Certificate of waiver | Mar 23, 2027 |
National Provider Directory
National Provider DirectoryLocations
790 S US 23
Harrisville, MI 48740
Phone (989) 724-6889
Ownership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| Sally J Smith | 5% Or Greater Direct Ownership Interest | Jul 1, 2009 | 50% |
| Corporate Officer | Jul 1, 2009 | 100% | |
| Corporate Director | Jul 1, 2009 | 100% | |
| Operational/Managerial Control | Jul 1, 2009 | ||
| Trustee of the SNF | Jul 1, 2009 | ||
| Adp of the SNF | Jul 1, 2009 | ||
| Direct Ownership Interest | Jul 1, 2009 | 50% | |
| Lori Ann Wilkins | Operational/Managerial Control | Dec 1, 2016 | |
| Adp of the SNF | Dec 1, 2016 | ||
| Indirect Ownership Interest | Dec 1, 2016 | ||
| James H Smith | 5% Or Greater Direct Ownership Interest | Jul 1, 2009 | 50% |
| Operational/Managerial Control | Jul 1, 2009 | ||
| Trustee of the SNF | Jul 1, 2009 | ||
| Adp of the SNF | Jul 1, 2009 | ||
| Direct Ownership Interest | Jul 1, 2009 | 50% | |
| Raj Rao | Operational/Managerial Control | Dec 18, 2018 | |
| Adp of the SNF | Dec 18, 2018 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- General Practice Physician
- Harrisville, MI
- NPI 1144526252
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, and the practitioner matching its NPPES authorized official.
-
- General Practice Physician
- Harrisville, MI
- NPI 1144526252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1609863224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 369",
"city": "HARRISVILLE",
"state": "MI",
"postal_code": "487400369",
"telephone_number": "989-724-6889",
"fax_number": "989-724-5231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 S US 23",
"city": "HARRISVILLE",
"state": "MI",
"postal_code": "487409502",
"telephone_number": "989-724-6889",
"fax_number": "989-724-5231"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMITH-JAMIESON INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "SALLY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT - ADMINISTRATOR",
"authorized_official_telephone_number": "989-724-6889",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LPN"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "MI",
"license": "014010",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2154427",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "jamieson nursing home",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Harrisville, MI
- James P. Richards, M.D.
- Kimberly Ritchie, CNP
- Karen M. Sawmiller, P.A.C.
- Jacquelyn Nicole-Jaqua Schwanz, OTRL
- Sella Pharmacy Inc (Richard's Pharmacy)
- Harold Stanley Sommerschield, PH. D.
- Amber Southerton, MSW, LLMSW
- Dwight H. Stevens, L.M.S.W.
- Ann C Thibodeau-Ashford, PHYSICIAN ASSISTANT
- Turek Enterprises, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.