NPIMap

Organization Active NPI

Mymichigan Medical Center Midland

Doing business as MyMichigan Home Care

  • Home Health Agency
  • Midland, MI
National Provider Identifier
1639102163
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MYMICHIGAN MEDICAL CENTER MIDLAND
Doing business as
MyMichigan Home Care
Practice address
6810 Eastman Ave
Midland, MI 48642-7805
Phone
(989) 633-1400
Fax
(989) 633-1464
NPI assigned
Jul 8, 2006
Last updated
Jan 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Authorized official

Name
Sarah James
Title
Manager, Provider Enrollment
Phone
(989) 701-4734

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Nurse Practitioner 363L00000X 4704176891 MI
Nurse Practitioner 363L00000X 4704179544 MI
Clinical Social Worker 1041C0700X 6801082428 MI
Clinical Social Worker 1041C0700X 6801075314 MI

Addresses

Primary practice location

6810 Eastman Ave
Midland, MI 48642-7805

Mailing address

4000 Wellness Dr
Midland, MI 48670-2000
Phone (989) 633-1400

Other identifiers 2

IdentifierTypeStateIssuer
0E024OtherMIBLUE CROSS
5173909 15MedicaidMI

Other names 1

  • MyMichigan Home Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221230000453 MI Part A Provider - Home Health Agency 2264323633 Practice locations: Gladwin, MI; Clare, MI; Mount Pleasant, MI; Midland, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639102163. Details of each certification follow.

Home health agency certification: CCN 237015

Legal name
MYMICHIGAN MEDICAL CENTER MIDLAND
Doing business as
MYMICHIGAN HOME CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 1, 1966
Last certification
May 27, 2016
Ownership / control type
Non-Profit
Most recent change of ownership
Jan 1, 2023
Organization structure
CorporationNon-profit
Incorporated
Sep 13, 1940 in MI
Enrollment address
6810 Eastman Ave
Midland, MI 48642-7805
HHA Branch

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Mymichigan Home CareCCN 237015 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Jul 1, 1966
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Neuro Science29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Sarah James Individual W-2 Managing EmployeeEnrollment Coordinator Jan 1, 2023
Operational/Managerial ControlEnrollment Coordinator Jan 1, 2023
Lydia Watson Individual Corporate OfficerPresident Jan 1, 2023
Kimberlee Baczewski Individual Corporate OfficerVice President Jan 1, 2023
Bridgette Gransden Individual Corporate OfficerAdministrator Jan 1, 2023
Tina Church Individual Corporate DirectorDirector Patient Accounts Jan 1, 2023
Operational/Managerial Control Jan 1, 2023
Mymichigan Health Organization, Midland, MI Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2023 100%
Tricia Gorde Individual Corporate DirectorDirector, Provider Enrollment Jan 20, 2025
Charles Sherwin Individual Corporate OfficerPresident Jan 1, 2023
Operational/Managerial Control Jan 1, 2023

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mymichigan Medical Center MidlandMidland, MI, CCN 230222 Hospital Operational/Managerial Control Jul 1, 2014

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 30

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

View all 30

Change-of-ownership history 2

DateEventCounterparty
Jan 1, 2023 Change of OwnershipThis provider was the buyer Mymichigan Home CareCCN 237015, MI, NPI 1639102163
Jan 1, 2023 Change of OwnershipThis provider was the seller Mymichigan Home CareCCN 237015, MI, NPI 1639102163

Practitioners & affiliated clinicians

Affiliated clinicians 89

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 89

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1639102163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486702000",
            "telephone_number": "989-633-1400",
            "fax_number": "989-633-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 EASTMAN AVE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486427805",
            "telephone_number": "989-633-1400",
            "fax_number": "989-633-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYMICHIGAN MEDICAL CENTER MIDLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "MANAGER, PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "989-701-4734"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704176891",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704179544",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801082428",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801075314",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0E024",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5173909  15",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyMichigan Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.