MT. PLEASANT OPCO, LLC (NPI# 1780081844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780081844 |
| Entity Type | Organization |
| Organization Name | MT. PLEASANT OPCO, LLC |
| Other Organization Name | MEDILODGE OF MT. PLEASANT |
| Practice Address |
1524 Portabella Trl Mt Pleasant MI 48858-4006 |
| Mailing Address |
7400 New La Grange Rd Suite 100 Louisville KY 40222-4870 |
| Practice Telephone | 9897722967 |
| Practice Fax Number | 9897799060 |
| Mailing Telephone | 5024298062 |
| Mailing Fax Number | 5024290650 |
| Enumeration Date | 2014-12-04 |
| 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 | 1780081844 | 05 |
| Other Name | Type Code |
|---|---|
| Medilodge of Mt. Pleasant | Doing Business As Name - Organization |
| Street Address |
1524 PORTABELLA TRL |
| City | MT PLEASANT |
| State | MI |
| Zip Code | 48858-4006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023065513 | Tendercare Michigan Inc. | Skilled Nursing Facility | 1524 Portabella Trl, Mt Pleasant, MI 48858-4006 | 2006-05-28 |
| 1861928889 | Rachelle Walker | Occupational Therapy Assistant | 1524 Portabella Trl, Mt Pleasant, MI 48858-4006 | 2017-05-11 |
| 1831543164 | Peggy Lee Raines | Physical Therapy Assistant | 1524 Portabella Trl, Mt Pleasant, MI 48858-4006 | 2016-04-22 |
| 1730561168 | Elaine Betts | Physical Therapist | 1524 Portabella Trl, Mt Pleasant, MI 48858-4006 | 2015-06-22 |
| 1649685512 | Bethany Schultz | Physical Therapy Assistant | 1524 Portabella Trl, Mt Pleasant, MI 48858-4006 | 2014-06-30 |
| 1225442049 | Susan Carey-bullard | Physical Therapy Assistant | 1524 Portabella Trl, Mt Pleasant, MI 48858-4006 | 2014-06-19 |
| 1255761342 | Heather Jose | Occupational Therapist | 1524 Portabella Trl, Mt Pleasant, MI 48858-4006 | 2013-11-26 |
| 1790115657 | Wendy Jane Endres | Speech-Language Pathologist | 1524 Portabella Trl, Mt Pleasant, MI 48858-4006 | 2013-11-13 |
| 1518396555 | Jenna Hopkins | Physical Therapy Assistant | 1524 Portabella Trl, Mt Pleasant, MI 48858-4006 | 2013-11-08 |
| 1104198423 | Jessica Marie Taylor | Occupational Therapist | 1524 Portabella Trl, Mt Pleasant, MI 48858-4006 | 2012-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535067 | Family Tree Maternity Center, LLC | Midwife | 5201 S. Mission Rd., Mt. Pleasant, MI 48858 | 2020-10-14 |
| 1942842471 | Isabella Citizens for Health, Inc. | Pharmacy | 2790 Health Parkway, Mt Pleasant, MI 48858 | 2019-10-16 |
| 1295299279 | Dalten Tyler Simnitch | Student in an Organized Health Care Education/Training Program | 3700 E Deerfield Rd, Lexington Ridge E01, Mount Pleasant, MI 48858 | 2019-01-24 |
| 1942773809 | Jordan Lynn Bell | Technician, Other | 798 S Whilteville Rd, Mount Pleasant, MI 48858 | 2019-01-03 |
| 1083183578 | Amanda Danielle Greene | Student in an Organized Health Care Education/Training Program | 1280 E. Campus Dr., Central Michigan University, Mt. Pleasant, MI 48858 | 2018-11-14 |
| 1891264388 | Emily Mccullen | Student in an Organized Health Care Education/Training Program | 1280 E Campus Drive, Central Michigan University, Mount Pleasant, MI 48858 | 2018-11-14 |
| 1174092662 | Nathaniel Lambie | Student in an Organized Health Care Education/Training Program | 1280 East Campus Drive, Central Michigan University, Mount Pleasant, MI 48858 | 2018-11-14 |
| 1386110872 | Megan Stahl | Social Worker | 301 S Crapo St Suite 100, Mt.pleasant, MI 48858 | 2018-10-23 |
| 1710461090 | Beverly Jean Medford | Custodial Care Facility | 9318 E. Pickard Rd., Mount Pleasant Mi, MI 48858 | 2018-09-21 |
| 1760976211 | Jen Carlesimo | Behavior Technician | Central Autism Treatment Center, 2520 S. University Park Drive, Building D, Mt. Pleasant, MI 48858 | 2018-06-19 |
| Find all providers in zip 48858 | ||||
| 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 |
|---|---|---|---|---|
| 1356426738 | Savannah Grace Halls Lp | Skilled Nursing Facility | 1010 Lake Hunter Circle, Mt Pleasant, SC 29464-5417 | 2006-10-26 |
| 1588751770 | Thi of Texas At Mount Pleasant II, LLC | Skilled Nursing Facility | 2003 N Edwards Ave, Mt Pleasant, TX 75455-2010 | 2006-10-07 |
| 1023065513 | Tendercare Michigan Inc. | Skilled Nursing Facility | 1524 Portabella Trl, Mt Pleasant, MI 48858-4006 | 2006-05-28 |
| 1649225335 | Laurel Health Care Company of Mt Pleasant | Skilled Nursing Facility | 400 S Crapo St, Mt Pleasant, MI 48858-2944 | 2006-05-23 |
| 1851390421 | Harmon House Care Center, LLC | Skilled Nursing Facility | 601 S Church St, Mt Pleasant, PA 15666-1703 | 2005-07-18 |
| 1508868662 | Isabella County Medical Care | Skilled Nursing Facility | 1222 North Dr, Mt Pleasant, MI 48858-3200 | 2005-06-02 |
| 1346719432 | Mt. Pleasant V Enterprises, LLC | Skilled Nursing Facility | 2530 Greenhill Rd, Mt Pleasant, TX 75455-6744 | 2018-11-19 |
| 1720464563 | Gruenepointe 1 Mt. Pleasant, LLC | Skilled Nursing Facility | 2530 Greenhill Rd, Mt Pleasant, TX 75455-6744 | 2015-08-04 |
| 1851720452 | Fannin County Hospital Authority | Skilled Nursing Facility | 2003 N Edwards Ave, Mt Pleasant, TX 75455-2010 | 2013-11-04 |
| 1700227964 | Vibra Hospital of Charleston LLC | Skilled Nursing Facility | 1200 Hospital Dr, 2nd Floor, Mt Pleasant, SC 29464-3251 | 2013-07-16 |
| Find all providers in MT PLEASANT | ||||
| City | MT PLEASANT |
| Zip Code | 48858 |
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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.