NPIMap

Organization Active NPI

Mymichigan Medical Center Standish

  • Skilled Nursing Facility
  • Standish, MI
National Provider Identifier
1962595454
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
063010 Issued in MI
Legal business name
MYMICHIGAN MEDICAL CENTER STANDISH
Practice address
805 W Cedar St
Standish, MI 48658-9526
Phone
(989) 846-4521
NPI assigned
Oct 2, 2006
Last updated
Mar 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Authorized official

Name
Sarah James
Title
Manager Patient Accounting
Phone
(989) 701-4734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 063010 MI Primary

Addresses

Primary practice location

805 W Cedar St
Standish, MI 48658-9526

Mailing address

4000 Wellness Dr
Midland, MI 48670-2000
Phone (844) 832-1956

Other identifiers 1

IdentifierTypeStateIssuer
2000654MedicaidMI

Other names 1

  • St Mary's of Michigan-Standish Skilled Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080630000268 MI Part A Provider - Skilled Nursing Facility 0840362224 Practice locations: Standish, MI
O20120114000064 MI Part B Supplier - Clinic/Group Practice 0840362224 Receives reassigned benefits from 16 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Standish, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962595454. Details of each certification follow.

Skilled nursing facility certification: CCN 235192

Legal name
MYMICHIGAN MEDICAL CENTER STANDISH
Doing business as
MYMICHIGAN SKILLED NURSING FACILITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 28, 1970
Last certification
Feb 21, 2025
Beds
29
Ownership / control type
Nonprofit Corporation
Multi-facility organization
MyMichigan Health
Organization structure
CorporationNon-profit
Enrollment address
805 W Cedar St
Standish, MI 48658-9526
Nursing home name
MYMICHIGAN SKILLED NURSING FACILITY

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Nursing home

Medicare Care Compare
Listed as
MyMichigan Skilled Nursing FacilityCCN 235192 · 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
Non profit - Corporation
Certified
Feb 28, 1970
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
2922.7 residents per day on average
Penalties (3 years)
1Fines totaling $32,175

Processed by Care Compare on Aug 1, 2026.

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
Mymichigan Medical Center Standish Organization, Midland, MI Corporation 5% Or Greater Indirect Ownership Interest Aug 1, 2024 100%
Sarah James Individual Corporate OfficerOperations Manager, Pe Nov 4, 2025
Jeanette Zaske Individual Operational/Managerial Control Nov 6, 2025
Adp of the SNF Nov 6, 2025
Laurilee McCord Individual Operational/Managerial Control Jan 1, 2019
Samantha Hunter Individual Operational/Managerial Control Nov 4, 2025
Brodi Katelyn Lynch Individual Operational/Managerial Control Aug 1, 2024
Adp of the SNF Nov 4, 2025
Mymichigan Health Organization, Midland, MI Chain home office 5% Or Greater Direct Ownership Interest Aug 1, 2024 100%
Michael Erickson Individual Corporate OfficerPresident Aug 1, 2024
Tricia Gorde Individual Corporate DirectorDirector of Operations, Pe Aug 2, 2024
Operational/Managerial Control Aug 2, 2024

Owners & managing parties with NPI records 3

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

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 Family MedicineStandish, MI, CCN 233998 Rural health clinic Operational/Managerial Control (100%) Aug 1, 2024

Owned or controlled facilities with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1962595454",
    "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": "844-832-1956",
            "fax_number": "989-633-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W CEDAR ST",
            "city": "STANDISH",
            "state": "MI",
            "postal_code": "486589526",
            "telephone_number": "989-846-4521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYMICHIGAN MEDICAL CENTER STANDISH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "MANAGER PATIENT ACCOUNTING",
        "authorized_official_telephone_number": "989-701-4734"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "063010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2000654",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Mary's of Michigan-Standish Skilled",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Standish, MI

Sources for this page

Verify at the official NPI Registry.