CAPITAL AREA OPCO, LLC


Address: 2100 E Provincial House Dr, Lansing, MI 48910-4884
Phone: 5172724029

CAPITAL AREA OPCO, LLC (NPI# 1528465739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528465739
Entity Type Organization
Organization Name CAPITAL AREA OPCO, LLC
Other Organization Name MEDILODGE OF CAPITAL AREA
Practice Address 2100 E Provincial House Dr
Lansing
MI 48910-4884
Mailing Address 7400 New La Grange Rd
Suite 100
Louisville
KY 40222-4870
Practice Telephone 5172724029
Practice Fax Number 5172724035
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MI 1528465739 05

Other Provider/Organization Names

Other Name Type Code
Medilodge of Capital Area Doing Business As Name - Organization

Office Location

Street Address 2100 E PROVINCIAL HOUSE DR
City LANSING
State MI
Zip Code 48910-4884

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154366086 Tendercare (michigan) Inc. Skilled Nursing Facility 2100 E Provincial House Dr, Lansing, MI 48910-4884 2006-06-17
1912559329 Taylor M Marosi Occupational Therapist 2100 E Provincial House Dr, Lansing, MI 48910-4884 2019-07-15
1861843617 Renee Sue Pier Occupational Therapist 2100 E Provincial House Dr, Lansing, MI 48910-4884 2016-06-23
1124488333 Marin Tawney Occupational Therapist 2100 E Provincial House Dr, Lansing, MI 48910-4884 2016-03-01
1215313127 Ellen Marvel Simmons Occupational Therapist 2100 E Provincial House Dr, Lansing, MI 48910-4884 2015-08-03
1841687779 Karinn Swain Occupational Therapy Assistant 2100 E Provincial House Dr, Lansing, MI 48910-4884 2015-04-17
1376930222 Angela Woodruff Physical Therapy Assistant 2100 E Provincial House Dr, Lansing, MI 48910-4884 2015-04-17
1316343262 Joseph Grubaugh Occupational Therapist 2100 E Provincial House Dr, Lansing, MI 48910-4884 2014-11-04
1194136333 Susan Gardner Occupational Therapist 2100 E Provincial House Dr, Lansing, MI 48910-4884 2014-05-09
1316376403 Kim Baecker Physical Therapy Assistant 2100 E Provincial House Dr, Lansing, MI 48910-4884 2013-11-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821604562 Wendy Lynne Hughes Licensed Practical Nurse 2025 S Washington Ave Suite 210 Lansing, Mi 48910, Lansing, MI 48910 2020-09-18
1073146908 James Laroach Peer Specialist 913 W. Homes Suite 200, Lansing, MI 48910 2020-02-19
1487284279 Kourtia Nicole Munson Counselor 2025 S Washighton Ave, Suite 210, Lansing, MI 48910 2020-01-21
1699248112 Cedar Pharmacy LLC Pharmacy 2513 S Cedar St., Lansing, MI 48910 2019-01-08
1134604390 Kazuho Kondo Student in an Organized Health Care Education/Training Program 3338 Beau Jardin Dr., 0812, Lansing, MI 48910 2018-10-03
1477036655 Dalia Elgohary Pharmacist 5016 S Martin Luther King, Lansing, MI 48910 2018-09-13
1457856940 Derrick Lynn Byrd Social Worker 4305 S. Cedar St., Lansing, MI 48910 2018-03-27
1326564964 Lansing Health Supplies Durable Medical Equipment & Medical Supplies 3105 S Martin Luther King Blvd #320, Lansing, MI 48910 2017-08-15
1265957203 Heather E Dover Dietitian, Registered 2510 Solomon Dr, Lansing, MI 48910 2017-08-10
1407307705 Elise Evans Occupational Therapist 2331 East Jolly Rd, Suite B, Lansing, MI 48910 2016-10-21
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144658659 Eaton Care Center, LLC Skilled Nursing Facility 12200 Broadbent, Lansing, MI 48917 2013-10-18
1831214154 Tri-state Nursing & Rehabilitation Center Inc Skilled Nursing Facility 2500 175th St, Lansing, IL 60438-1801 2007-03-20
1154366086 Tendercare (michigan) Inc. Skilled Nursing Facility 2100 E Provincial House Dr, Lansing, MI 48910-4884 2006-06-17
1790732295 Tendercare (michigan) Inc. Skilled Nursing Facility 731 Starkweather Dr, Lansing, MI 48917-1128 2006-05-28
1972554137 Ggnsc Lansing LLC Skilled Nursing Facility 210 N Plaza Dr, Lansing, KS 66043-1381 2006-05-12
1437146974 Lansing Housing Corporation Skilled Nursing Facility 1329 Main St, Lansing, IA 52151-9615 2005-09-30
1043869035 Lansing Operator, LLC Skilled Nursing Facility 210 N Plaza Dr, Lansing, KS 66043-1381 2019-09-11
1861963217 Tri-state Village Nursing and Rehabilitation Center LLC Skilled Nursing Facility 2500 175th St, Lansing, IL 60438-1801 2018-12-11
1447708920 Lansing Care and Rehabilitation Center, LLC Skilled Nursing Facility 210 N Plaza Dr, Lansing, KS 66043-1381 2016-09-14
1821495045 Lansing Opco, LLC Skilled Nursing Facility 731 Starkweather Dr, Lansing, MI 48917-1128 2014-12-03
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City LANSING
Zip Code 48910

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Dataset Information

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.

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