Active NPI
County of Cass
Doing business as Cass County Medical Care Facility
- Skilled Nursing Facility
- Cassopolis, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- COUNTY OF CASS
- Doing business as
- Cass County Medical Care Facility
- Practice address
- 23770 Hospital St
Cassopolis, MI 49031-9644 - Phone
- (269) 445-3801
- NPI assigned
- Sep 27, 2005
- Last updated
- Dec 11, 2008
- 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
- Ms. Merri Terborgh
- Title
- Administrator
- Phone
- (269) 445-3801
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
23770 Hospital St
Cassopolis, MI 49031-9644
Mailing address
23770 Hospital St
Cassopolis, MI 49031-9644
Phone (269) 445-3801
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09538 | Other | MI | BLUE CROSS |
| 2085160 | Medicaid | MI |
Other names 1
- Cass County Medical Care Facility
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081211000503 | MI | Part A Provider - Skilled Nursing Facility | 4587725338 | Practice locations: Cassopolis, MI |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1629064332. Details of each certification follow.
Skilled nursing facility certification: CCN 235352
- Legal name
- COUNTY OF CASS
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 8, 1977
- Last certification
- Mar 25, 2025
- Beds
- 80
- Ownership / control type
- County
- Organization structure
- Government
- Enrollment address
- 23770 Hospital St
Cassopolis, MI 49031-9644 - Nursing home name
- CASS COUNTY MEDICAL CARE FACILITY
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Cass County Medical Care Facility
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Government - County
- Certified
- Oct 8, 1977
- Medicare certification status
- Active
- Certified beds
- 80
- Penalties (3 years)
- 2
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 |
|---|---|---|---|
| 23D0704052 | Cass County Medical Care Facility | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Rehabilitation Clinic/Center
- Cassopolis, MI
- NPI 1437728292
Member Of
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 |
|---|---|---|---|
| Vicki Vaughn | Corporate Director | Sep 22, 2008 | |
| County of Cass | 5% Or Greater Direct Ownership Interest | Jan 1, 1852 | 100% |
| Christian Lutes | Corporate Director | May 23, 2018 | |
| W-2 Managing Employee | Jan 5, 2009 | ||
| Diane Seifert | Corporate Director | Jan 18, 2022 |
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.
-
- Family Medicine Physician
- Battle Creek, MI
- NPI 1700992484
-
- Family Medicine Physician
- Cassopolis, MI
- NPI 1881634566
-
- Family Medicine Physician
- Merrillville, IN
- NPI 1134190713
Affiliated clinicians 1
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": "1127779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228953600000",
"number": "1629064332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23770 HOSPITAL ST",
"city": "CASSOPOLIS",
"state": "MI",
"postal_code": "490319644",
"telephone_number": "269-445-3801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23770 HOSPITAL ST",
"city": "CASSOPOLIS",
"state": "MI",
"postal_code": "490319644",
"telephone_number": "269-445-3801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF CASS",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-27",
"last_updated": "2008-12-11",
"status": "A",
"authorized_official_last_name": "TERBORGH",
"authorized_official_first_name": "MERRI",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "269-445-3801",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "09538",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2085160",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cass County Medical Care Facility",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cassopolis, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.