GAYLORD OPCO, LLC


Address: 508 Random Ln, Gaylord, MI 49735-9304
Phone: 9897323508

GAYLORD OPCO, LLC (NPI# 1154848224) 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) 1154848224
Entity Type Organization
Organization Name GAYLORD OPCO, LLC
Other Organization Name MEDILODGE OF GAYLORD
Practice Address 508 Random Ln
Gaylord
MI 49735-9304
Mailing Address 7400 New La Grange Rd Ste 100
Louisville
KY 40222-4870
Practice Telephone 9897323508
Mailing Telephone 5024298062
Enumeration Date 2017-08-29
Last Update Date 2017-08-29
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/Organization Names

Other Name Type Code
Medilodge of Gaylord Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1215453691 Gaylord Opco, LLC Skilled Nursing Facility 508 Random Ln, Gaylord, MI 49735-9304 2017-08-17

Office Location

Street Address 508 RANDOM LN
City GAYLORD
State MI
Zip Code 49735-9304

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205806593 Rosanne Beth Freeman Paz Family Medicine 508 Random Ln, Gaylord, MI 49735-9304 2006-01-26
1578186029 Brooke Ann Sumerix Occupational Therapist 508 Random Ln, Gaylord, MI 49735-9304 2020-05-19
1316413073 Melanie Elizabeth Kulczycki Occupational Therapist 508 Random Ln, Gaylord, MI 49735-9304 2018-10-22
1386144673 Peter Anthony Schaub Physical Therapist 508 Random Ln, Gaylord, MI 49735-9304 2018-02-14
1790283497 Alexis Ann Anderson Speech-Language Pathologist 508 Random Ln, Gaylord, MI 49735-9304 2018-01-28
1215453691 Gaylord Opco, LLC Skilled Nursing Facility 508 Random Ln, Gaylord, MI 49735-9304 2017-08-17
1053854182 Jane Ferguson Contractor 508 Random Ln, Gaylord, MI 49735-9304 2016-11-21
1982054839 Samantha Paige Conklin Speech-Language Pathologist 508 Random Ln, Gaylord, MI 49735-9304 2016-06-21
1659743821 Timothy Eric Jones Occupational Therapist 508 Random Ln, Gaylord, MI 49735-9304 2015-10-27
1245602754 Shawna Elizabeth Butler Skilled Nursing Facility 508 Random Ln, Gaylord, MI 49735-9304 2015-10-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306447453 Jenni Kirt Social Worker 407 I-75 Bus N, Gaylord, MI 49735 2020-11-05
1922584986 Patricia Dovalina Behavior Technician 2285 Michaywe Dr, Otsego Lake, MI 49735 2018-07-12
1265944581 James Hulbert Social Worker 407 W Main Street, Gaylord, MI 49735 2017-10-26
1548792625 Somer Lawes Behavior Technician 2443 Castlewood Dr, Gaylord, MI 49735 2017-03-29
1922554161 Mark David Mcpherson Counselor 2136 West M-32, Gaylord, MI 49735 2016-08-28
1689063034 Liza Brandt Behavioral Analyst 6748 Colonial Ct, Gaylord, MI 49735 2015-01-22
1942597224 Visions for Your Community Care Hhc Home Health 2365 N Perch Lake Dr, Gaylord, MI 49735 2011-07-07
1073778304 Julie Lynn Vandusen Community Health Worker 5512 Clubhouse Trail, Gaylord, MI 49735 2008-07-25
1073708798 Alpine Chiropractic, PC Chiropractor 529 S. Wisconsin Ave, Gaylord, MI 49735 2007-09-06
1669675567 Oral and Maxillofacial Surgery Associates Dentist 785 E M32, Gaylord, MI 49735 2007-06-07
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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
1366802811 Susan Spurgeon Skilled Nursing Facility 303 N Center Ave, Gaylord, MI 49735-1477 2016-02-26
1750388336 Gaylord Lakeview Home Skilled Nursing Facility 640 3rd St, Gaylord, MN 55334-2297 2005-06-28
1215453691 Gaylord Opco, LLC Skilled Nursing Facility 508 Random Ln, Gaylord, MI 49735-9304 2017-08-17
1245602754 Shawna Elizabeth Butler Skilled Nursing Facility 508 Random Ln, Gaylord, MI 49735-9304 2015-10-23
1629452214 Fmg Random Lane Michigan LLC Skilled Nursing Facility 508 Random Ln, Gaylord, MI 49735-9304 2015-07-14
1831597285 Fmg Random Lane Michigan LLC Skilled Nursing Facility 508 Random Ln, Gaylord, MI 49735-9304 2014-12-17
1285820092 Oak Terrace Health Care Center of Gaylord,llc Skilled Nursing Facility 640 3rd St, Gaylord, MN 55334-2297 2007-09-15
1053428052 Tendercare Select Properties Inc. Skilled Nursing Facility 508 Random Ln, Rte. 1, Gaylord, MI 49735-9304 2006-08-24
1598700403 Tendercare Select Properties Inc. Skilled Nursing Facility 508 Random Ln, Rte. 4, Gaylord, MI 49735-9304 2006-06-17
1851341333 Munson Healthcare Otsego Memorial Hospital Skilled Nursing Facility 825 N Center Ave, Gaylord, MI 49735 2006-05-12
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Competitor

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City GAYLORD
Zip Code 49735

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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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