MEDILODGE OF PLYMOUTH, INC.
NPI 1003887662
Skilled Nursing Facility in Plymouth, MI

Active since January 31, 2006
395 W ANN ARBOR TRL, PLYMOUTH, MI 48170(734) 453-3983(734) 414-8231 Get Directions Write a Review

NPPES record last updated: July 16, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Medilodge Of Plymouth, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDILODGE OF PLYMOUTH, INC. (NPI 1003887662) is a healthcare organization registered as a skilled nursing facility in Plymouth, Michigan and active in the NPI registry since January 2006. The organization lists Kathleen Denean, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1003887662
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMEDILODGE OF PLYMOUTH, INC.
Location Address395 W ANN ARBOR TRLPlymouth, MI 48170-1641
Mailing Address395 W Ann Arbor TrlPlymouth, MI 48170-1641 · (734) 453-3983 · Fax (734) 414-8231
Fax(734) 414-8231
Organization SubpartNo
Authorized OfficialKathleen DeneanChief Executive Officer · (586) 752-5008
Enumeration DateJanuary 31, 2006
Last NPPES UpdateJuly 16, 2009
NPI 1003887662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MI · 824320
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.
395 W ANN ARBOR TRL, Plymouth, MI 48170

Other Identifiers 3

Medicare ID-Type Unspecified235507MI · Provider Number
Other09839MI · Blue Cross Blue Shield Of Michigan
Medicaid3453224MI

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
395 W ANN ARBOR TRL
PLYMOUTH, MI 48170

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medilodge Of Plymouth, Inc.'s NPI number?

The NPI number for Medilodge Of Plymouth, Inc. is 1003887662. It was assigned to this organization in the NPPES registry on January 31, 2006.

Where is Medilodge Of Plymouth, Inc. located?

Medilodge Of Plymouth, Inc. is located at 395 W Ann Arbor Trl, Plymouth, MI 48170. The listed phone number is (734) 453-3983.

What is Medilodge Of Plymouth, Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Medilodge Of Plymouth, Inc. was last updated on July 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.