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GRAND HAVEN OPCO LLC
NPI 1770078263
Skilled Nursing Facility in Grand Haven, MI

Active since June 27, 2018CLIA 23D0379293 · Waiver
3/5
Overall Rating
900 S BEACON BLVD, GRAND HAVEN, MI 49417(616) 846-1850 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 28, 2026, Jul 16, 2018, Jun 27, 2018 (3 updates tracked since 2018).

About Grand Haven Opco Llc NPPES

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

GRAND HAVEN OPCO LLC (NPI 1770078263), doing business as Medilodge At The Shore, is a healthcare organization registered as a skilled nursing facility in Grand Haven, Michigan and active in the NPI registry since June 2018. 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

NPI1770078263
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameGRAND HAVEN OPCO LLC
Location Address900 S BEACON BLVDGrand Haven, MI 49417
Mailing Address7400 New La Grange Rd Ste 400Louisville, KY 40222-4870 · (502) 429-8062 · Fax (866) 360-1098
Phone(616) 846-1850
Organization SubpartNo
Authorized OfficialKristine Ranel KirkDelegated Official · (417) 846-3521
Enumeration DateJune 27, 2018
Last NPPES UpdateMay 28, 20263 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
✔ NPI 1770078263 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.
900 S BEACON BLVD, Grand Haven, MI 49417
Open in Google Maps ↗

Other Names 1

Doing Business AsMedilodge At The Shore

Other Identifiers 1

Medicaid1770078263MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 23D0379293

Grand Haven Opco, LLC · Grand Haven, MI
Active · expires Aug 31, 2026
CLIA Number23D0379293
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorCaitlyn Gugins
Laboratory Phone(616) 846-1850
Laboratory LocationGrand Haven Opco, LLC900 S Beacon Blvd, Grand Haven, MI 49417
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 At The Shore (CMS certification number 235356), from CMS Care Compare.

Medilodge At The Shore

Nursing home · Grand Haven, MI
3/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number235356
Certified Beds126 beds108 residents per day on average
Medicare & Medicaid Participant SinceJanuary 1, 1980
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
Long-Stay Quality
Quality of care delivered to long-term residents.
4/5
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.
2/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
77.33
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 2.4 · LPN 0.58 · RN 0.6
3.58 hrs per resident per day
Weekend Nurse Staffing
3.04 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.
62.9%
Registered Nurse Turnover
61.5%
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
21
Substantiated Complaints
23
Fines
1 totaling $65,276.25
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 11

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

CYNTHIA ANN BOLLING LPTA
Physical Therapy Assistant
900 S BEACON BLVD
GRAND HAVEN, MI 49417
Ottawa County (616) 296-7300
EMILY GEBOLYS
Physical Therapy Assistant
900 S BEACON BLVD
GRAND HAVEN, MI 49417
Ottawa County (616) 296-7300
MRS. MARY KLINTER OTR/L
Occupational Therapist
900 S BEACON BLVD
GRAND HAVEN, MI 49417
Ottawa County (616) 296-7329
TRINITY CONTINUING CARE SERVICES
Durable Medical Equipment & Medical Supplies (Parenteral & Enteral Nutrition)
900 S BEACON BLVD
GRAND HAVEN, MI 49417
Ottawa County (616) 846-1850
MR. MATTHEW MICHAEL BAILEY COTA/L
Occupational Therapy Assistant
900 S BEACON BLVD
GRAND HAVEN, MI 49417
Ottawa County (616) 846-1850
NANCY MCKEON DUBUC PHYSICAL THERAPIST
Physical Therapist
900 S BEACON BLVD
GRAND HAVEN, MI 49417
Ottawa County (616) 846-1850
KRISTA JOY SALL COTA
Occupational Therapy Assistant
900 S BEACON BLVD
GRAND HAVEN, MI 49417
Ottawa County (616) 296-7300
MISS LYNN ELLEN SOPER OTR
Specialist
900 S BEACON BLVD
GRAND HAVEN, MI 49417
Ottawa County (616) 846-1850

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 Grand Haven Opco LLC's NPI number?

The NPI number for Grand Haven Opco LLC is 1770078263. It was assigned to this organization in the NPPES registry on June 27, 2018. The provider is doing business as Medilodge at the Shore.

Where is Grand Haven Opco LLC located?

Grand Haven Opco LLC is located at 900 S Beacon Blvd, Grand Haven, MI 49417. The listed phone number is (616) 846-1850.

What is Grand Haven Opco LLC's specialty?

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

Does Grand Haven Opco LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0379293) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Grand Haven Opco LLC a Medicare-certified nursing home?

Yes. Medilodge At The Shore is a Medicare-certified nursing home with 126 certified beds.

What quality rating does Grand Haven Opco LLC have?

CMS rates Medilodge At The Shore 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 Grand Haven Opco LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Oscar Insurance Company and 2 other insurers list Grand Haven 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 Grand Haven 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.