KALAMAZOO OPCO, LLC (NPI# 1578960795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578960795 |
| Entity Type | Organization |
| Organization Name | KALAMAZOO OPCO, LLC |
| Other Organization Name | MEDILODGE OF KALAMAZOO |
| Practice Address |
1701 S 11th St Kalamazoo MI 49009-1775 |
| Mailing Address |
7400 New La Grange Rd Suite 100 Louisville KY 40222-4870 |
| Practice Telephone | 2693752020 |
| Practice Fax Number | 2693757990 |
| 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 | 1578960795 | 05 |
| Other Name | Type Code |
|---|---|
| Medilodge of Kalamazoo | Doing Business As Name - Organization |
| Street Address |
1701 S 11TH ST |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49009-1775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528421468 | Emma Jane Olson | Occupational Therapist | 1701 S 11th St, Kalamazoo, MI 49009-1775 | 2016-03-29 |
| 1083072359 | Amy Grace Carlson | Physical Therapy Assistant | 1701 S 11th St, Kalamazoo, MI 49009-1775 | 2016-02-02 |
| 1972992766 | Nicole Sampson | Physical Therapy Assistant | 1701 S 11th St, Kalamazoo, MI 49009-1775 | 2015-01-15 |
| 1750710893 | Ernest Cason | Physical Therapy Assistant | 1701 S 11th St, Kalamazoo, MI 49009-1775 | 2013-11-08 |
| 1225467640 | Karen Applebey | Occupational Therapist | 1701 S 11th St, Kalamazoo, MI 49009-1775 | 2013-11-06 |
| 1326477852 | Jennifer Ritchie | Occupational Therapy Assistant | 1701 S 11th St, Kalamazoo, MI 49009-1775 | 2013-11-05 |
| 1518396027 | Teri Bullard | Occupational Therapy Assistant | 1701 S 11th St, Kalamazoo, MI 49009-1775 | 2013-11-05 |
| 1134558679 | Melissa Lockwood | Physical Therapy Assistant | 1701 S 11th St, Kalamazoo, MI 49009-1775 | 2013-11-05 |
| 1770912552 | Daniel Lee Finstrom | Speech-Language Pathologist | 1701 S 11th St, Kalamazoo, MI 49009-1775 | 2013-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396235222 | Cherian Counseling Pllc | Marriage & Family Therapist | 4341 W Nestnedge Avenue #1201, Kalamazoo, MI 49009 | 2018-05-16 |
| 1316450901 | Joslyn Aneice Johnson | Student in an Organized Health Care Education/Training Program | 1521 Summer Ridge Dr. Apt. A, Kalamazoo, MI 49009 | 2017-11-06 |
| 1063931160 | Morgan Lee Baughman | Social Worker | 2555 S 11th St. Suite B, Kalamazoo, MI 49009 | 2017-09-11 |
| 1811416845 | Karen Sue Franks | Registered Nurse | 615 E. Crosstown Parkway, Kalamazoo, MI 49009 | 2017-09-11 |
| 1780102327 | Jonathan Robert Klok | Counselor | 6963 West Kl Ave. Suite A, Kalamazoo, MI 49009 | 2017-09-04 |
| 1730624339 | Optimed Health Partners Inc | Home Infusion | 6480 Technology Ave Suite A, Kalamazoo, MI 49009 | 2017-01-05 |
| 1063961860 | Christine Murphy Lee | Physician Assistant | 6565 West Main St, Westside Family Medical Center, P.c, Kalamazoo, MI 49009 | 2016-09-22 |
| 1558732297 | West Point Optical Group | Optometrist | 575 S Drake Rd, Kalamazoo, MI 49009 | 2015-10-07 |
| 1386021012 | Leonora Tarantino | Physical Therapist | 9303 W P Ave, Kalamazoo, MI 49009 | 2015-05-01 |
| 1720474836 | Alyssa Sutter | Rehabilitation Practitioner | 5990 Venture Park Dr., Kalamazoo, MI 49009 | 2015-04-15 |
| Find all providers in zip 49009 | ||||
| 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 |
|---|---|---|---|---|
| 1386656775 | Kalamazoo Care Center, Inc | Skilled Nursing Facility | 1430 Alamo Ave, Kalamazoo, MI 49006-2216 | 2006-08-13 |
| 1851331631 | Heartland of Kalamazoo Mi LLC | Skilled Nursing Facility | 3625 W Michigan Ave, Kalamazoo, MI 49006-5427 | 2006-06-08 |
| 1376590851 | Tendercare Michigan Inc. | Skilled Nursing Facility | 2575 N Drake Rd, Kalamazoo, MI 49006-1358 | 2006-05-28 |
| 1306893805 | Tendercare Kalamazoo Inc. | Skilled Nursing Facility | 1701 S Eleventh St, Kalamazoo, MI 49009-1775 | 2006-05-28 |
| 1598719510 | Fountains Bronson Place Sl, LLC | Skilled Nursing Facility | 1451 Bronson Way, Kalamazoo, MI 49009-3306 | 2006-05-22 |
| 1912963190 | Borgess Nursing Home Inc | Skilled Nursing Facility | 3057 Gull Rd, Kalamazoo, MI 49048-1281 | 2006-04-25 |
| 1124002910 | Harold and Grace Upjohn Community Care Center | Skilled Nursing Facility | 2400 Portage St, Kalamazoo, MI 49001-3728 | 2005-12-05 |
| 1649261488 | Lifecare, Inc. | Skilled Nursing Facility | 1400 N Drake Rd, Kalamazoo, MI 49006 | 2005-11-01 |
| 1821087701 | Alamo Nursing Home, Inc. | Skilled Nursing Facility | 8290 W C Ave, Kalamazoo, MI 49009-8825 | 2005-10-14 |
| 1841736725 | Kalamazoo Opco II, LLC | Skilled Nursing Facility | 3625 W Michigan Ave, Kalamazoo, MI 49006-5427 | 2017-01-16 |
| Find all providers in KALAMAZOO | ||||
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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.