Organization Active NPI

Smith-Jamieson Inc.

Doing business as jamieson nursing home

  • Nursing Facility/Intermediate Care Facility
  • Harrisville, MI
National Provider Identifier
1609863224
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
014010 Issued in MI
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2154427MedicaidMI

Other names 1

  • jamieson nursing home Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 HomeCCN 235628 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
May 16, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3920.5 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0899225Jamieson Nursing Home790 US 23 South PO Box 369, Harrisville, MI 48740Certificate of waiverMar 23, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Sally J Smith Individual 5% Or Greater Direct Ownership Interest Jul 1, 2009 50%
Corporate OfficerPresident, Board of Directors, a Jul 1, 2009 100%
Corporate DirectorPresident, Board of Directors, a 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 Individual Operational/Managerial Control Dec 1, 2016
Adp of the SNF Dec 1, 2016
Indirect Ownership Interest Dec 1, 2016
James H Smith Individual 5% Or Greater Direct Ownership InterestDa 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 Individual 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.

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.

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

Sources for this page

Verify at the official NPI Registry.