MONROE OPCO LLC (NPI# 1740621762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740621762 |
| Entity Type | Organization |
| Organization Name | MONROE OPCO LLC |
| Other Organization Name | MEDILODGE OF MONROE |
| Practice Address |
481 Village Green Ln Monroe MI 48162-3367 |
| Mailing Address |
7400 New La Grange Rd Suite 100 Louisville KY 40222-4870 |
| Practice Telephone | 7342426282 |
| Practice Fax Number | 7342426491 |
| Mailing Telephone | 5024298062 |
| Mailing Fax Number | 5024290650 |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2014-12-30 |
| 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 | 1740621762 | 05 |
| Other Name | Type Code |
|---|---|
| MEDILODGE OF MONROE | Doing Business As Name - Organization |
| Street Address |
481 VILLAGE GREEN LN |
| City | MONROE |
| State | MI |
| Zip Code | 48162-3367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326013731 | Medilodge of Monroe, LLC | Skilled Nursing Facility | 481 Village Green Ln, Monroe, MI 48162-3367 | 2006-02-20 |
| 1053937516 | Aida Coka | Occupational Therapist | 481 Village Green Ln, Monroe, MI 48162-3367 | 2020-06-21 |
| 1922653195 | Joshua Alan Eisenga I | Occupational Therapist | 481 Village Green Ln, Monroe, MI 48162-3367 | 2019-08-05 |
| 1174080048 | Heather Anderson | Speech-Language Pathologist | 481 Village Green Ln, Monroe, MI 48162-3367 | 2019-02-26 |
| 1841775244 | Shahid Khan | Occupational Therapist | 481 Village Green Ln, Monroe, MI 48162-3367 | 2018-10-02 |
| 1619467313 | Ava Michelle Natu-el | Physical Therapist | 481 Village Green Ln, Monroe, MI 48162-3367 | 2018-05-17 |
| 1447591490 | Wingston Marri | Physical Therapist | 481 Village Green Ln, Monroe, MI 48162-3367 | 2013-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568016012 | Silke A Goudos | Nurse Practitioner | 730 N Macomb Street #200, Monroe, MI 48162 | 2019-08-01 |
| 1134781412 | Joshua Dwaine Lentz | Family Medicine | Promedica Monroe Regional Hospital, 650 Stewart Road, Monroe, MI 48162 | 2019-07-08 |
| 1740769702 | Carissa Pollock | Behavioral Analyst | 2086 S. Custer Rd., Monroe, MI 48162 | 2018-08-10 |
| 1710488440 | Stacy Michael Lucio | Nurse Practitioner | 901 N Macomb St Ste 109, Monroe, MI 48162 | 2018-02-27 |
| 1407239882 | Lisa Gilbert Peleman | Student in an Organized Health Care Education/Training Program | Promedica Monroe Regional Hospital Family Medicine Res, 650 Stewart Rd, Monroe, MI 48162 | 2015-07-03 |
| 1427430552 | Cheryl Fosgate | Counselor | 4350 N Monroe St, Monroe, MI 48162 | 2015-06-25 |
| 1538551460 | Convenient Mr PC | Dentist | 7500 N. Telegraph Rd., Monroe, MI 48162 | 2015-03-02 |
| 1659614022 | Mercy Memorial Hospital Corporation | Family Medicine | 650 Steward Road, Monroe, MI 48162 | 2013-04-03 |
| 1073872743 | Justin L Chamberlain | Surgery | 730 N Macomb St Ste 329, Monroe, MI 48162 | 2012-05-15 |
| 1639462674 | Toledo Clinic Incorporated | Durable Medical Equipment & Medical Supplies | 800 Stewart Road, Suite B, Monroe, MI 48162 | 2011-05-24 |
| Find all providers in zip 48162 | ||||
| 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 |
|---|---|---|---|---|
| 1992106348 | The Heritage of Union County, LLC | Skilled Nursing Facility | 3510 W Highway 74, Monroe, NC 28110-8441 | 2014-09-04 |
| 1245514546 | Riverside Nursing Home, LLC | Skilled Nursing Facility | 7950 Millhaven Road, Monroe, LA 71203-9008 | 2011-10-05 |
| 1295990836 | Marci Gail Milne | Skilled Nursing Facility | 3006 Dewdrop Ct, Monroe, NC 28110-6346 | 2008-07-23 |
| 1821265638 | Ida Lyn Stevenson | Skilled Nursing Facility | 2903 13th St, Monroe, WI 53566-2245 | 2008-05-12 |
| 1467657304 | Northeast Louisana Veterans Home | Skilled Nursing Facility | 6700 Highway 165 N, Monroe, LA 71203-8753 | 2007-06-20 |
| 1023180734 | Extendicare Health Facilities, Inc. | Skilled Nursing Facility | 516 26th Ave, Monroe, WI 53566-1531 | 2006-11-15 |
| 1033207121 | Management Company Inc | Skilled Nursing Facility | 4201 S Grand St, Monroe, LA 71202-6319 | 2006-10-11 |
| 1801996210 | Promedica Monroe Skilled Nursing and Rehab | Skilled Nursing Facility | 700 Stewart Rd, Monroe, MI 48162-5304 | 2006-09-25 |
| 1396754750 | Avalon Place, Lp | Skilled Nursing Facility | 4385 Old Sterlington Rd, Monroe, LA 71203-2360 | 2006-08-05 |
| 1912931254 | Woodlawn Manor, Inc. | Skilled Nursing Facility | 1000 Mckeen Pl, Monroe, LA 71201 | 2006-07-11 |
| Find all providers in MONROE | ||||
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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.