SOUTH HAVEN OPCO, LLC
NPI 1649855917
Skilled Nursing Facility in South Haven, MI

Active since March 17, 2021
120 BASELINE RD, SOUTH HAVEN, MI 49090(269) 637-8411 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Haven Opco, Llc NPPES

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

SOUTH HAVEN OPCO, LLC (NPI 1649855917), doing business as Medilodge Of South Haven, is a healthcare organization registered as a skilled nursing facility in South Haven, Michigan and active in the NPI registry since March 2021. The organization lists Jonathan Ohlsen, Chief Legal Officer, as its authorized official.

NPPES Registry Identity

NPI1649855917
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSOUTH HAVEN OPCO, LLC
Location Address120 BASELINE RDSouth Haven, MI 49090-1037
Mailing Address7400 New La Grange Rd Ste 100Louisville, KY 40222-4870 · (502) 429-8062 · Fax (502) 429-5980
Organization SubpartNo
Authorized OfficialJonathan OhlsenChief Legal Officer · (541) 543-1215
Enumeration DateMarch 17, 2021
NPPES CertifiedMarch 17, 2021
NPI 1649855917 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.
120 BASELINE RD, South Haven, MI 49090

Other Names 1

Doing Business AsMedilodge Of South Haven

Other Providers at the Same Location NPPES 5

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

Skilled Nursing Facility
120 BASELINE RD
SOUTH HAVEN, MI 49090
Speech-Language Pathologist
120 BASELINE RD
SOUTH HAVEN, MI 49090
Assisted Living Facility
120 BASELINE RD
SOUTH HAVEN, MI 49090
Occupational Therapist (Gerontology)
120 BASELINE RD
SOUTH HAVEN, MI 49090
Occupational Therapist
120 BASELINE RD
SOUTH HAVEN, MI 49090

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 South Haven Opco, LLC's NPI number?

The NPI number for South Haven Opco, LLC is 1649855917. It was assigned to this organization in the NPPES registry on March 17, 2021. The provider is doing business as Medilodge of South Haven.

Where is South Haven Opco, LLC located?

South Haven Opco, LLC is located at 120 Baseline Rd, South Haven, MI 49090. The listed phone number is (269) 637-8411.

What is South Haven Opco, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for South Haven Opco, LLC was last updated on March 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.