TAWAS CITY OPCO LLC
NPI 1508383837
Skilled Nursing Facility in Tawas City, MI

Active since August 28, 2017CLIA 23D0650859 · Waiver
3/5
Overall Rating
400 NORTH ST W, TAWAS CITY, MI 48763(989) 362-8645 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, Feb 6, 2019, Aug 28, 2017 (3 updates tracked since 2017).

About Tawas City Opco Llc NPPES

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

TAWAS CITY OPCO LLC (NPI 1508383837), doing business as Medilodge Of Tawas City, is a healthcare organization registered as a skilled nursing facility in Tawas City, 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

NPI1508383837
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameTAWAS CITY OPCO LLC
Location Address400 NORTH ST WTawas City, MI 48763-9161
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 28, 2017
Last NPPES UpdateMay 28, 20263 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
NPI 1508383837 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.
400 NORTH ST W, Tawas City, MI 48763

Other Names 1

Doing Business AsMedilodge Of Tawas City

Other Identifiers 1

Medicaid1508383837MI

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 23D0650859

Tawas City Opco, LLC · Tawas City, MI
Active · expires Aug 31, 2026
CLIA Number23D0650859
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDawn Dominek
Laboratory Phone(989) 362-8645
Laboratory LocationTawas City Opco, LLC400 North Street W, Tawas City, MI 48763
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 Tawas City (CMS certification number 235379), from CMS Care Compare.

Medilodge Of Tawas City

Nursing home · Tawas City, MI
3/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number235379
Certified Beds85 beds63 residents per day on average
Medicare & Medicaid Participant SinceJuly 17, 1978
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.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
4/5
Staffing
Based on nursing staff hours relative to resident needs.
3/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
101.33
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 2.87 · LPN 0.51 · RN 0.8
4.18 hrs per resident per day
Weekend Nurse Staffing
3.51 hrs per resident per day
Physical Therapist Staffing
0.09 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
64.5%
Registered Nurse Turnover
63.6%
Administrators Who Have Left
In the past year.
2
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
20
Substantiated Complaints
13
Infection-Control Citations
0
Fines
2 totaling $64,837.50
Medicare Payment Denials
0
Total Penalties
2
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 17

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

Specialist
400 NORTH ST W, TENDER CARE
TAWAS CITY, MI 48763
Skilled Nursing Facility
400 NORTH ST W
TAWAS CITY, MI 48763
Occupational Therapist
400 NORTH ST W
TAWAS CITY, MI 48763
Physical Medicine & Rehabilitation
400 NORTH ST W
TAWAS CITY, MI 48763
Physical Therapy Assistant
400 NORTH ST W
TAWAS CITY, MI 48763
Physical Therapist
400 NORTH ST W
TAWAS CITY, MI 48763
Occupational Therapist
400 NORTH ST W
TAWAS CITY, MI 48763
Occupational Therapist (Physical Rehabilitation)
400 NORTH ST W
TAWAS CITY, MI 48763

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 Tawas City Opco LLC's NPI number?

The NPI number for Tawas City Opco LLC is 1508383837. It was assigned to this organization in the NPPES registry on August 28, 2017. The provider is doing business as Medilodge of Tawas City.

Where is Tawas City Opco LLC located?

Tawas City Opco LLC is located at 400 North St W, Tawas City, MI 48763. The listed phone number is (989) 362-8645.

What is Tawas City Opco LLC's specialty?

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

Does Tawas City Opco LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0650859) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Tawas City Opco LLC a Medicare-certified nursing home?

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

What quality rating does Tawas City Opco LLC have?

CMS rates Medilodge Of Tawas City 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Tawas City Opco LLC accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Tawas City 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 Tawas City 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.