Medilodge Of Mt. Pleasant

LBN: Mt. Pleasant Opco, Llc
Medilodge Of Mt. Pleasant is an health care organization with primary practice located at 1524 Portabella Trl , Mt Pleasant MI 48858-4006. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Mt. Pleasant Opco, Llc can be contacted via phone (989) 772-2967, or through Rogers, Stacey Paul via phone (502) 429-8062.

Contact Information

Primary practice address
1524 Portabella Trl Mt Pleasant MI 48858-4006
Phone: (989) 772-2967
Fax: (989) 779-9060
Website:
Map and Directions
Authorized official contact:
Name: Rogers, Stacey Paul
Phone: (502) 429-8062

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1780081844
LBN Legal business name Mt. Pleasant Opco, Llc
DBA Doing business as Medilodge Of Mt. Pleasant
Authorized official Rogers, Stacey Paul
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2014
Last updated Jul 16th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780081844 NPPES
Michigan MEDICAID 1780081844

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