OPTALIS WYOMING OPCO, LLC
NPI 1568258002
Skilled Nursing Facility in Wyoming, MI

Active since April 18, 2025CLIA 23D0380760 · Waiver
625 36TH ST SW, WYOMING, MI 49509(616) 975-2180(616) 531-0407 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Optalis Wyoming Opco, Llc NPPES

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

OPTALIS WYOMING OPCO, LLC (NPI 1568258002), doing business as Optalis Health & Rehabilitation Of Wyoming, is a healthcare organization registered as a skilled nursing facility in Wyoming, Michigan and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Susan Wortman, Administrator, as its authorized official.

NPPES Registry Identity

NPI1568258002
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameOPTALIS WYOMING OPCO, LLC
Location Address625 36TH ST SWWyoming, MI 49509-4004
Mailing Address625 36th St SwWyoming, MI 49509-4004 · (616) 531-0200 · Fax (616) 531-0407
Fax(616) 531-0407
Organization SubpartNo
Authorized OfficialSusan WortmanAdministrator · (616) 531-0200
Enumeration DateApril 18, 2025
Last NPPES UpdateJune 19, 2026
NPPES CertifiedJune 19, 2026
NPI 1568258002 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.
625 36TH ST SW, Wyoming, MI 49509

Other Names 1

Doing Business AsOptalis Health & Rehabilitation Of Wyoming

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 23D0380760

Optalis Of Wyoming · Wyoming, MI
Active · expires Aug 31, 2026
CLIA Number23D0380760
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorRebecca I. Schmidt
Laboratory Phone(616) 531-0200
Laboratory LocationOptalis Of Wyoming625 36th Street SW, Wyoming, MI 49509
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Skilled Nursing Facility
625 36TH ST SW
WYOMING, MI 49509
Skilled Nursing Facility
625 36TH ST SW
WYOMING, MI 49509

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 Optalis Wyoming Opco, LLC's NPI number?

The NPI number for Optalis Wyoming Opco, LLC is 1568258002. It was assigned to this organization in the NPPES registry on April 18, 2025. The provider is doing business as Optalis Health & Rehabilitation of Wyoming.

Where is Optalis Wyoming Opco, LLC located?

Optalis Wyoming Opco, LLC is located at 625 36th St SW, Wyoming, MI 49509. The listed phone number is (616) 975-2180.

What is Optalis Wyoming Opco, LLC's specialty?

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

Does Optalis Wyoming Opco, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0380760) 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 Optalis Wyoming Opco, LLC accept?

Health plans from Priority Health and UnitedHealthcare list Optalis Wyoming 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 Optalis Wyoming Opco, LLC was last updated on June 19, 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.