Organization Active NPI

Meadow Brook Medical Care Facility

  • Skilled Nursing Facility
  • Bellaire, MI
National Provider Identifier
1861497398
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
058510 Issued in MI
Legal business name
MEADOW BROOK MEDICAL CARE FACILITY
Practice address
4543 S M 88 Hwy
Bellaire, MI 49615-9109
Phone
(231) 533-8661
Fax
(231) 533-4841
NPI assigned
Jun 21, 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. Judy Martin, RN
Title
Administrator
Phone
(231) 533-8661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 058510 MI Primary

Addresses

Primary practice location

4543 S M 88 Hwy
Bellaire, MI 49615-9109

Mailing address

4543 S M 88 Hwy
Bellaire, MI 49615-9109
Phone (231) 533-8661

Other identifiers 2

IdentifierTypeStateIssuer
09637OtherMIBLUE CROSS BLUE SHIELD
2085141MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111018000358 MI Part A Provider - Skilled Nursing Facility 3375715386 Practice locations: Bellaire, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861497398. Details of each certification follow.

Skilled nursing facility certification: CCN 235025

Legal name
MEADOW BROOK MEDICAL CARE FACILITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jan 1, 1967
Last certification
Oct 30, 2024
Beds
133
Ownership / control type
County
Organization structure
OtherNon-profit
Enrollment address
4543 S M 88 Hwy
Bellaire, MI 49615-9109
Nursing home name
MEADOW BROOK MEDICAL CARE FACILITY

Care Compare: Nursing home

Medicare Care Compare
Listed as
Meadow Brook Medical Care FacilityCCN 235025 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Government - County
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
133104.9 residents per day on average
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
1Fines totaling $0

Processed by Care Compare on Aug 1, 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 8

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

NameRoleSinceShare
Arnold G Muller Individual Corporate DirectorBoard Member Nov 17, 2022
Fred Harris Individual Corporate DirectorBoard Chairmen Nov 1, 2011
William Hefferan Individual Corporate DirectorCounty Liaison Apr 11, 2023
Maureen Clore Individual Corporate DirectorBoard Secretary Apr 24, 2016
Melissa Zelenak Individual Corporate DirectorBoard Member Nov 5, 2018
Marna D Robertson Individual W-2 Managing EmployeeAd; Feb 1, 2006 100%
Adp of the SNF Jan 13, 2025
Dennis Feihel Individual Contracted Managing EmployeeMD; Apr 29, 2024
Adp of the SNF Jan 13, 2025
Antrim County Organization, Bellaire, MI 5% Or Greater Direct Ownership Interest Jan 1, 1967 100%
Adp of the SNF Jan 13, 2025

Owners & managing parties with NPI records 1

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

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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.

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": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861497398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4543 S M 88 HWY",
            "city": "BELLAIRE",
            "state": "MI",
            "postal_code": "496159109",
            "telephone_number": "231-533-8661",
            "fax_number": "231-533-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4543 S M 88 HWY",
            "city": "BELLAIRE",
            "state": "MI",
            "postal_code": "496159109",
            "telephone_number": "231-533-8661",
            "fax_number": "231-533-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOW BROOK MEDICAL CARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "231-533-8661",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "058510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09637",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2085141",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, MI

Sources for this page

Verify at the official NPI Registry.