MEDILODGE OF KALAMAZOO
NPI 1578960795
Skilled Nursing Facility in Kalamazoo, MI

Active since December 03, 2014CLIA 23D0669237 · Waiver
3/5
Overall Rating
1701 S 11TH ST, KALAMAZOO, MI 49009(269) 375-2020(269) 375-7990 Get Directions Write a Review

NPPES record last updated: July 16, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Medilodge Of Kalamazoo NPPES

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

MEDILODGE OF KALAMAZOO (NPI 1578960795) is a healthcare organization registered as a skilled nursing facility in Kalamazoo, Michigan and active in the NPI registry since December 2014. 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

NPI1578960795
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameKALAMAZOO OPCO, LLC
Location Address1701 S 11TH STKalamazoo, MI 49009-1775
Mailing Address7400 New La Grange Rd, Suite 100Louisville, KY 40222-4870 · (502) 429-8062 · Fax (502) 429-0650
Fax(269) 375-7990
Organization SubpartNo
Authorized OfficialStacey Paul RogersChief Financial Officer · (502) 429-8062
Enumeration DateDecember 3, 2014
Last NPPES UpdateJuly 16, 2015
NPI 1578960795 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.
1701 S 11TH ST, Kalamazoo, MI 49009

Other Names 1

Doing Business AsMedilodge Of Kalamazoo

Other Identifiers 2

Medicaid1578960795MI
Medicare OSCAR/certification235282

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 23D0669237

Kalamazoo Opco, LLC · Kalamazoo, MI
Active · expires Aug 31, 2026
CLIA Number23D0669237
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorTerri Graham
Laboratory Phone(269) 375-2020
Laboratory LocationKalamazoo Opco, LLC1701 S 11th Street, Kalamazoo, MI 49009
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 Kalamazoo (CMS certification number 235282), from CMS Care Compare.

Medilodge Of Kalamazoo

Nursing home · Kalamazoo, MI
3/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number235282
Certified Beds39 beds37 residents per day on average
Medicare & Medicaid Participant SinceApril 5, 1976
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.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
43.33
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 2.25 · LPN 1.04 · RN 0.66
3.95 hrs per resident per day
Weekend Nurse Staffing
3.43 hrs per resident per day
Physical Therapist Staffing
0.02 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
54.3%
Registered Nurse Turnover
50%
Administrators Who Have Left
In the past year.
2
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

CMS has flagged this facility with its abuse flag, indicating a citation for abuse or neglect on a recent inspection report.
Facility-Reported Incidents
2
Substantiated Complaints
10
Fines
1 totaling $3,727.75
Medicare Payment Denials
0
Total Penalties
1
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 10

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

Physical Therapy Assistant
1701 S 11TH ST
KALAMAZOO, MI 49009
Physical Therapy Assistant
1701 S 11TH ST
KALAMAZOO, MI 49009
Occupational Therapist
1701 S 11TH ST
KALAMAZOO, MI 49009
Occupational Therapy Assistant
1701 S 11TH ST
KALAMAZOO, MI 49009
Occupational Therapy Assistant
1701 S 11TH ST
KALAMAZOO, MI 49009
Occupational Therapist
1701 S 11TH ST
KALAMAZOO, MI 49009
Physical Therapy Assistant
1701 S 11TH ST
KALAMAZOO, MI 49009
Speech-Language Pathologist
1701 S 11TH ST
KALAMAZOO, MI 49009

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 Kalamazoo Opco, LLC's NPI number?

The NPI number for Kalamazoo Opco, LLC is 1578960795. It was assigned to this organization in the NPPES registry on December 3, 2014. The provider is doing business as Medilodge Of Kalamazoo.

Where is Kalamazoo Opco, LLC located?

Kalamazoo Opco, LLC is located at 1701 S 11th St, Kalamazoo, MI 49009. The listed phone number is (269) 375-2020.

What is Kalamazoo Opco, LLC's specialty?

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

Does Kalamazoo Opco, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0669237) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Kalamazoo Opco, LLC a Medicare-certified nursing home?

Yes. Medilodge Of Kalamazoo is a Medicare-certified nursing home with 39 certified beds.

What quality rating does Kalamazoo Opco, LLC have?

CMS rates Medilodge Of Kalamazoo 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 Kalamazoo 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 Kalamazoo 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 Kalamazoo Opco, LLC was last updated on July 16, 2015. 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.