MEDILODGE OF ST CLAIR
NPI 1497196703
Skilled Nursing Facility in East China, MI

Active since July 15, 2013CLIA 23D0678452 · Waiver
4220 HOSPITAL DR, EAST CHINA, MI 48054(810) 329-4736(810) 329-6282 Get Directions Write a Review

NPPES record last updated: December 30, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Medilodge Of St Clair NPPES

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

MEDILODGE OF ST CLAIR (NPI 1497196703) is a healthcare organization registered as a skilled nursing facility in East China, Michigan and active in the NPI registry since July 2013. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Stacey Paul Rogers, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1497196703
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameST CLAIR OPCO LLC
Location Address4220 HOSPITAL DREast China, MI 48054-2200
Mailing Address7400 New La Grange Rd, Suite 100Louisville, KY 40222-4870 · (502) 429-8062 · Fax (502) 429-0650
Fax(810) 329-6282
Organization SubpartNo
Authorized OfficialStacey Paul RogersChief Financial Officer · (502) 429-8062
Enumeration DateJuly 15, 2013
Last NPPES UpdateDecember 30, 2014
NPI 1497196703 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.
4220 HOSPITAL DR, East China, MI 48054

Other Names 1

Doing Business AsMedilodge Of St Clair

Other Identifiers 2

Medicaid1497196703MI
Medicare OSCAR/certification235370

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 23D0678452

St Clair Opco, LLC · East China, MI
Active · expires Aug 31, 2026
CLIA Number23D0678452
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJuan Lovelace
Laboratory Phone(810) 329-4736
Laboratory LocationSt Clair Opco, LLC4220 S Hospital Drive, East China, MI 48054
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

Physical Therapist
4220 HOSPITAL DR
EAST CHINA, MI 48054
Occupational Therapist
4220 HOSPITAL DR
EAST CHINA, MI 48054
Skilled Nursing Facility
4220 HOSPITAL DR
EAST CHINA, MI 48054
Internal Medicine
4220 HOSPITAL DR
EAST CHINA, MI 48054
Internal Medicine
4220 HOSPITAL DR
EAST CHINA, MI 48054
Physical Medicine & Rehabilitation
4220 HOSPITAL DR
EAST CHINA, MI 48054
Skilled Nursing Facility
4220 HOSPITAL DR
EAST CHINA, MI 48054

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 St Clair Opco LLC's NPI number?

The NPI number for St Clair Opco LLC is 1497196703. It was assigned to this organization in the NPPES registry on July 15, 2013. The provider is doing business as Medilodge Of St Clair.

Where is St Clair Opco LLC located?

St Clair Opco LLC is located at 4220 Hospital Dr, East China, MI 48054. The listed phone number is (810) 329-4736.

What is St Clair Opco LLC's specialty?

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

Does St Clair Opco LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0678452) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does St Clair 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 St Clair 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 St Clair Opco LLC was last updated on December 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.