CHEBOYGAN OPCO LLC
NPI 1295251676
Skilled Nursing Facility in Cheboygan, MI

Active since August 17, 2017CLIA 23D0381615 · Waiver
5/5
Overall Rating
824 S HURON ST, CHEBOYGAN, MI 49721(231) 627-4347 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 28, 2026, Jul 21, 2022, Aug 28, 2017 and 1 more (4 updates tracked since 2017).

About Cheboygan Opco Llc NPPES

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

CHEBOYGAN OPCO LLC (NPI 1295251676), doing business as Medilodge Of Cheboygan, is a healthcare organization registered as a skilled nursing facility in Cheboygan, Michigan and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Kristine Ranel Kirk, Delegated Official, as its authorized official.

NPPES Registry Identity

NPI1295251676
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCHEBOYGAN OPCO LLC
Location Address824 S HURON STCheboygan, MI 49721-2210
Mailing Address7400 New La Grange Rd Ste 400Louisville, KY 40222-4870 · (502) 429-8062 · Fax (866) 360-1098
Organization SubpartNo
Authorized OfficialKristine Ranel KirkDelegated Official · (417) 846-3521
Enumeration DateAugust 17, 2017
Last NPPES UpdateMay 28, 20264 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
NPI 1295251676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
824 S HURON ST, Cheboygan, MI 49721

Other Names 1

Doing Business AsMedilodge Of Cheboygan

Other Identifiers 1

Medicaid1295251676MI

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D0381615

Cheboygan Opco, LLC · Cheboygan, MI
Active · expires Aug 31, 2026
CLIA Number23D0381615
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorLaura Daniel
Laboratory Phone(231) 627-4347
Laboratory LocationCheboygan Opco, LLC824 S Huron Street, Cheboygan, MI 49721
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Medilodge Of Cheboygan (CMS certification number 235566), from CMS Care Compare.

Medilodge Of Cheboygan

Nursing home · Cheboygan, MI
5/5 CMS Overall Rating
OwnershipFor profit - Individual
CMS Certification Number235566
Certified Beds85 beds61 residents per day on average
Medicare & Medicaid Participant SinceJuly 4, 1995
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
4/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
54.67
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.62 · LPN 0.06 · RN 1.45
4.13 hrs per resident per day
Weekend Nurse Staffing
3.27 hrs per resident per day
Physical Therapist Staffing
0.15 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
90%
Registered Nurse Turnover
90.9%
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
1
Substantiated Complaints
8
Infection-Control Citations
0
Fines
2 totaling $43,114.50
Medicare Payment Denials
1
Total Penalties
3
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 13

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

Occupational Therapy Assistant
824 S HURON ST
CHEBOYGAN, MI 49721
Physical Therapy Assistant
824 S HURON ST
CHEBOYGAN, MI 49721
Skilled Nursing Facility
824 S HURON ST
CHEBOYGAN, MI 49721
Occupational Therapist
824 S HURON ST
CHEBOYGAN, MI 49721
Speech-Language Pathologist
824 S HURON ST
CHEBOYGAN, MI 49721
Skilled Nursing Facility
824 S HURON ST
CHEBOYGAN, MI 49721
Physical Therapy Assistant
824 S HURON ST
CHEBOYGAN, MI 49721
Occupational Therapist
824 S HURON ST
CHEBOYGAN, MI 49721

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 Cheboygan Opco LLC's NPI number?

The NPI number for Cheboygan Opco LLC is 1295251676. It was assigned to this organization in the NPPES registry on August 17, 2017. The provider is doing business as Medilodge of Cheboygan.

Where is Cheboygan Opco LLC located?

Cheboygan Opco LLC is located at 824 S Huron St, Cheboygan, MI 49721. The listed phone number is (231) 627-4347.

What is Cheboygan Opco LLC's specialty?

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

Does Cheboygan Opco LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0381615) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Cheboygan Opco LLC a Medicare-certified nursing home?

Yes. Medilodge Of Cheboygan is a Medicare-certified nursing home with 85 certified beds.

What quality rating does Cheboygan Opco LLC have?

CMS rates Medilodge Of Cheboygan 5 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Cheboygan Opco LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Cheboygan Opco LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cheboygan Opco LLC was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.