NPIMap

Organization Active NPI

Macomb County Human Services Board-an Agency of Macomb County

Doing business as Martha T. Berry MCF

  • Skilled Nursing Facility
  • Mount Clemens, MI
National Provider Identifier
1629056486
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
508510 Issued in MI
Legal business name
MACOMB COUNTY HUMAN SERVICES BOARD-AN AGENCY OF MACOMB COUNTY
Doing business as
Martha T. Berry MCF
Practice address
43533 Elizabeth St
Mount Clemens, MI 48043-1034
Phone
(586) 469-5265
Fax
(586) 466-7418
NPI assigned
Jan 3, 2006
Last updated
Feb 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Authorized official

Name
Jennifer Morgan
Title
Administrator
Phone
(586) 469-5623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 508510 MI Primary

Addresses

Primary practice location

43533 Elizabeth St
Mount Clemens, MI 48043-1034

Mailing address

43533 Elizabeth St
Mount Clemens, MI 48043-1034
Phone (586) 469-5265

Other names 1

  • Martha T. Berry MCF Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251027003208 MI Part A Provider - Skilled Nursing Facility 4486972148 Practice locations: Mount Clemens, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629056486. Details of each certification follow.

Skilled nursing facility certification: CCN 235155

Legal name
MACOMB COUNTY HUMAN SERVICES BOARD-AN AGENCY OF MACOMB COUNTY
Doing business as
MARTHA T BERRY MCF
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 22, 1968
Last certification
Jan 29, 2025
Beds
217
Ownership / control type
County
Organization structure
GovernmentNon-profit
Enrollment address
43533 Elizabeth St
Mount Clemens, MI 48043-1034
Nursing home name
MARTHA T BERRY MCF

Care Compare: Nursing home

Medicare Care Compare
Listed as
Martha T Berry MCFCCN 235155 · 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
Government - County
Certified
Apr 22, 1968
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
217208.1 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
23D0650527Macomb County Human Services Board43533 Elizabeth Road, Mount Clemens, MI 48043Certificate of waiverMay 18, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Patrick Thompson Individual Managing Control - Governing BodyBoard Member Nov 1, 2016
Concept Rehab, Inc. Organization, Toledo, OH Corporation, Medical staffing company Adp of the SNF Sep 20, 2016
Macomb County Human Services Board-an Agency of Macomb County Organization, Mount Clemens, MI Operational/Managerial Control Apr 1, 2010
Adp of the SNF Apr 1, 2010
Courtney Flynn Individual Managing Control - Governing BodyBoard Member Apr 25, 2024
Christine Luyeho Individual Operational/Managerial Control Dec 31, 2024
Morrison Management Specialists Inc Organization, Boston, MA Corporation, Management services company Operational/Managerial Control Dec 1, 2016
Adp of the SNF Dec 1, 2016
Ralph Brown Individual Managing Control - Governing BodyBoard Member Nov 1, 2017
Mirza Beg Individual Operational/Managerial Control Dec 1, 2011
Adp of the SNF Nov 10, 2025
Kevin Evans Individual Operational/Managerial Control Jun 1, 2016
Managing Control - Governing BodyExecutive Director Jun 1, 2016
Adp of the SNF Nov 10, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 10

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 3

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.

Affiliated clinicians 3

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": "1136246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1629056486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43533 ELIZABETH ST",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480431034",
            "telephone_number": "586-469-5265",
            "fax_number": "586-466-7418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43533 ELIZABETH ST",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480431034",
            "telephone_number": "586-469-5265",
            "fax_number": "586-466-7418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACOMB COUNTY HUMAN SERVICES BOARD-AN AGENCY OF MACOMB COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-03",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "586-469-5623"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "508510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martha T. Berry MCF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Clemens, MI

Sources for this page

Verify at the official NPI Registry.