MEDILODGE OF PORT HURON, LLC
NPI 1891955720
Skilled Nursing Facility in Fort Gratiot, MI

Active since June 13, 2008
5635 LAKESHORE RD, FORT GRATIOT, MI 48059(810) 385-7447 Get Directions Write a Review

NPPES record last updated: June 13, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Medilodge Of Port Huron, Llc NPPES

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

MEDILODGE OF PORT HURON, LLC (NPI 1891955720) is a healthcare organization registered as a skilled nursing facility in Fort Gratiot, Michigan and active in the NPI registry since June 2008. The organization lists Kathleen Denean, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1891955720
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMEDILODGE OF PORT HURON, LLC
Location Address5635 LAKESHORE RDFort Gratiot, MI 48059-2817
Mailing Address5635 Lakeshore RdFort Gratiot, MI 48059-2817
Organization SubpartNo
Authorized OfficialKathleen DeneanChief Executive Officer · (586) 752-5008
Enumeration DateJune 13, 2008
NPI 1891955720 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.
5635 LAKESHORE RD, Fort Gratiot, MI 48059

Accepted Insurance

Other Providers at the Same Location NPPES 7

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

Speech-Language Pathologist
5635 LAKESHORE RD
FORT GRATIOT, MI 48059
Physical Therapy Assistant
5635 LAKESHORE RD
FORT GRATIOT, MI 48059
Occupational Therapy Assistant
5635 LAKESHORE RD
FORT GRATIOT, MI 48059
Physical Therapist
5635 LAKESHORE RD
FORT GRATIOT, MI 48059
Skilled Nursing Facility
5635 LAKESHORE RD
FORT GRATIOT, MI 48059
Occupational Therapy Assistant
5635 LAKESHORE RD
FORT GRATIOT, MI 48059
Skilled Nursing Facility
5635 LAKESHORE RD
FORT GRATIOT, MI 48059

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 Medilodge Of Port Huron, LLC's NPI number?

The NPI number for Medilodge Of Port Huron, LLC is 1891955720. It was assigned to this organization in the NPPES registry on June 13, 2008.

Where is Medilodge Of Port Huron, LLC located?

Medilodge Of Port Huron, LLC is located at 5635 Lakeshore Rd, Fort Gratiot, MI 48059. The listed phone number is (810) 385-7447.

What is Medilodge Of Port Huron, LLC's specialty?

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

What insurance does Medilodge Of Port Huron, LLC accept?

Health plans from McLaren Health Plan Community list Medilodge Of Port Huron, 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 Medilodge Of Port Huron, LLC was last updated on June 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.