Organization Active NPI

County of Cass

Doing business as Cass County Medical Care Facility

  • Skilled Nursing Facility
  • Cassopolis, MI
National Provider Identifier
1629064332
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
09538OtherMIBLUE CROSS
2085160MedicaidMI

Other names 1

  • Cass County Medical Care Facility Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
GovernmentNon-profit
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 FacilityCCN 235352 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Government - County
Certified
Oct 8, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8071.5 residents per day on average
Penalties (3 years)
2Fines totaling $15,593

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
23D0704052Cass County Medical Care Facility23770 Hospital Street, Cassopolis, MI 49031Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

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
Vicki Vaughn Individual Corporate DirectorChairman Sep 22, 2008
County of Cass Organization, Cassopolis, MI 5% Or Greater Direct Ownership Interest Jan 1, 1852 100%
Christian Lutes Individual Corporate Director May 23, 2018
W-2 Managing EmployeeAssistant Administrator Jan 5, 2009
Diane Seifert Individual 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.

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

Verify at the official NPI Registry.