MEDILODGE OF WYOMING
NPI 1831596907
Skilled Nursing Facility in Wyoming, MI

Active since December 04, 2014CLIA 23D1067240 · Waiver
4/5
Overall Rating
2786 56TH ST SW, WYOMING, MI 49418(616) 261-3960(616) 261-3925 Get Directions Write a Review

NPPES record last updated: July 17, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Medilodge Of Wyoming NPPES

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

MEDILODGE OF WYOMING (NPI 1831596907) is a healthcare organization registered as a skilled nursing facility in Wyoming, Michigan and active in the NPI registry since December 2014. The organization holds a CLIA Waiver certificate valid through April 12, 2027 and lists Stacey Paul Rogers, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1831596907
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameWYOMING OPCO, LLC
Location Address2786 56TH ST SWWyoming, MI 49418-8708
Mailing Address7400 New La Grange Rd, Suite 100Louisville, KY 40222-4870 · (502) 429-8062 · Fax (502) 429-0650
Fax(616) 261-3925
Organization SubpartNo
Authorized OfficialStacey Paul RogersChief Financial Officer · (502) 429-8062
Enumeration DateDecember 4, 2014
Last NPPES UpdateJuly 17, 2015
NPI 1831596907 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.
2786 56TH ST SW, Wyoming, MI 49418

Other Names 1

Doing Business AsMedilodge Of Wyoming

Other Identifiers 2

Medicare OSCAR/certification235630
Medicaid1831596907MI

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 23D1067240

Wyoming Opco, LLC · Wyoming, MI
Active · expires Apr 12, 2027
CLIA Number23D1067240
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateApril 13, 2025
Certificate Expiration DateApril 12, 2027
Laboratory DirectorCarrie Hollstein
Laboratory Phone(616) 261-3960
Laboratory LocationWyoming Opco, LLC2786 56th Street SW, Wyoming, MI 49418
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 Wyoming (CMS certification number 235630), from CMS Care Compare.

Medilodge Of Wyoming

Nursing home · Wyoming, MI
4/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number235630
Certified Beds80 beds75 residents per day on average
Medicare & Medicaid Participant SinceJune 26, 2007
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.
3/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
43.83
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 2.35 · LPN 0.61 · RN 1.01
3.96 hrs per resident per day
Weekend Nurse Staffing
3.12 hrs per resident per day
Physical Therapist Staffing
0.06 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
64.9%
Registered Nurse Turnover
66.7%
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
9
Substantiated Complaints
10
Infection-Control Citations
1
Fines
1 totaling $130,403.00
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 20

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

Physical Therapy Assistant
2786 56TH ST SW
WYOMING, MI 49418
Occupational Therapist
2786 56TH ST SW
WYOMING, MI 49418
Occupational Therapy Assistant
2786 56TH ST SW
WYOMING, MI 49418
Occupational Therapist
2786 56TH ST SW
WYOMING, MI 49418
Occupational Therapist
2786 56TH ST SW
WYOMING, MI 49418
Physical Therapist
2786 56TH ST SW
WYOMING, MI 49418
Occupational Therapy Assistant
2786 56TH ST SW
WYOMING, MI 49418
Physical Therapist
2786 56TH ST SW
WYOMING, MI 49418

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 Wyoming Opco, LLC's NPI number?

The NPI number for Wyoming Opco, LLC is 1831596907. It was assigned to this organization in the NPPES registry on December 4, 2014. The provider is doing business as Medilodge Of Wyoming.

Where is Wyoming Opco, LLC located?

Wyoming Opco, LLC is located at 2786 56th St SW, Wyoming, MI 49418. The listed phone number is (616) 261-3960.

What is Wyoming Opco, LLC's specialty?

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

Does Wyoming Opco, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1067240) is associated with this NPI, valid through April 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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

Yes. Medilodge Of Wyoming is a Medicare-certified nursing home with 80 certified beds.

What quality rating does Wyoming Opco, LLC have?

CMS rates Medilodge Of Wyoming 4 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Wyoming 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 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 Wyoming Opco, LLC was last updated on July 17, 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.