MIDLAND OPCO, LLC (NPI# 1407253636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407253636 |
| Entity Type | Organization |
| Organization Name | MIDLAND OPCO, LLC |
| Other Organization Name | MEDILODGE OF MIDLAND |
| Practice Address |
4900 Hedgewood Dr Midland MI 48640-1928 |
| Mailing Address |
7400 New La Grange Rd Suite 100 Louisville KY 40222-4870 |
| Practice Telephone | 9896319670 |
| Practice Fax Number | 9896316899 |
| Mailing Telephone | 5024298062 |
| Mailing Fax Number | 5024290650 |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2015-07-16 |
| Authorized Official Name | MR. STACEY PAUL ROGERS (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5024298062 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1407253636 | 05 |
| Other Name | Type Code |
|---|---|
| Medilodge of Midland | Doing Business As Name - Organization |
| Street Address |
4900 HEDGEWOOD DR |
| City | MIDLAND |
| State | MI |
| Zip Code | 48640-1928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679518377 | Tendercare (michigan) Inc. | Skilled Nursing Facility | 4900 Hedgewood Dr, Midland, MI 48640-1928 | 2006-06-17 |
| 1427573245 | Kayla G Wakeman | Student in an Organized Health Care Education/Training Program | 4900 Hedgewood Dr, Midland, MI 48640-1928 | 2017-08-14 |
| 1386098895 | Heather Wright | Music Therapist | 4900 Hedgewood Dr, Midland, MI 48640-1928 | 2016-04-20 |
| 1356706089 | Julie Ann Carpenter | Physical Therapy Assistant | 4900 Hedgewood Dr, Midland, MI 48640-1928 | 2015-12-23 |
| 1841687837 | Kate Martin | Physical Therapy Assistant | 4900 Hedgewood Dr, Midland, MI 48640-1928 | 2015-04-17 |
| 1215326350 | Julie Black | Occupational Therapist | 4900 Hedgewood Dr, Midland, MI 48640 | 2015-01-13 |
| 1922439843 | James C. Oros | Community Health Worker | 4900 Hedgewood Dr, Midland, MI 48640-1928 | 2013-12-02 |
| 1689005787 | Amy Danielsen | Speech-Language Pathologist | 4900 Hedgewood Dr, Midland, MI 48640-1928 | 2013-11-29 |
| 1093145138 | Dawn Krzyminski | Nursing Facility/Intermediate Care Facility | 4900 Hedgewood Dr, Midland, MI 48640-1928 | 2013-11-26 |
| 1114357399 | Laura Giardina | Skilled Nursing Facility | 4900 Hedgewood Dr, Midland, MI 48640-1928 | 2013-11-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407481260 | Sdpa Management Pllc | Dentist | 4915 Jefferson Ave., Midland, MI 48640 | 2020-03-11 |
| 1598237364 | Michelle Marie Arthur | Occupational Therapist | 3007 North Saginaw Rd, Midland, MI 48640 | 2018-12-18 |
| 1295202349 | Personal Assistance Options | Private Vehicle | 1509 Washington Street, Suite C, Midland, MI 48640 | 2018-10-26 |
| 1972094720 | Ashley E Cline | Technician, Other | 5405 Oakridge Dr., Midland, MI 48640 | 2018-05-27 |
| 1669963898 | Hope Richelle Walker | Social Worker | 396 S 9 Mile Rd, Midland, MI 48640 | 2018-05-23 |
| 1568964807 | David Isaac Bearss | Physical Therapist | 4401 Campus Ridge Drive, Suite 1000, Midland, MI 48640 | 2018-03-02 |
| 1295237741 | Ashley Michelle Ghose | Physical Therapist | 4401 Campus Ridge Drive Suite 1000, Midland, MI 48640 | 2018-03-01 |
| 1801306055 | Elizabeth Diana Dickerson | Social Worker | 218 Fast Lane Drive, Midland, MI 48640 | 2017-10-02 |
| 1528502275 | Sheila Jensen | Behavior Technician | 248 E Dopp Rd, Midland, MI 48640 | 2016-12-15 |
| 1518328657 | Becky Staudacher | Technician, Other | 707 Mill St, Midland, MI 48640 | 2016-03-17 |
| Find all providers in zip 48640 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790236198 | Foursquare Texas 16, LLC | Skilled Nursing Facility | 801 South Loop 250 West, Midland, TX 79703 | 2016-10-20 |
| 1558737965 | Visions Senior Care Corporation | Skilled Nursing Facility | 3121 Roosevelt Ave, Midland, TX 79701-6739 | 2015-08-19 |
| 1639353881 | Serenity Meadows Care Center Corporation | Skilled Nursing Facility | 2300 Camp Dr, Apt 1103, Midland, TX 79701-2005 | 2007-12-24 |
| 1790979623 | Legend Healthcare Midland, LLC | Skilled Nursing Facility | 3000 Mockingbird, Midland, TX 79705-1608 | 2007-09-04 |
| 1003913773 | Trinity Haven Healthcare Center, Inc. | Skilled Nursing Facility | 3203 Sage St, Midland, TX 79705-5711 | 2006-09-17 |
| 1487767026 | Midmichigan Stratford Village | Skilled Nursing Facility | 2121 Rockwell Drive, Midland, MI 48642-9316 | 2006-08-17 |
| 1679518377 | Tendercare (michigan) Inc. | Skilled Nursing Facility | 4900 Hedgewood Dr, Midland, MI 48640-1928 | 2006-06-17 |
| 1124014998 | Terrace West Nursing and Rehabilitation Lp | Skilled Nursing Facility | 2800 N Midland Dr, Midland, TX 79707-5536 | 2005-09-27 |
| 1710984117 | Midland Nursing Center LLC | Skilled Nursing Facility | 3615 E Ashman Rd, Midland, MI 48642-8858 | 2005-06-30 |
| 1588122238 | Anson Hospital District | Skilled Nursing Facility | 3000 Mockingbird, Midland, TX 79705-1608 | 2019-03-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.