MEDILODGE OF PORT HURON, LLC
NPI 1891955720
Skilled Nursing Facility in Fort Gratiot, MI
NPI Status: Active since June 13, 2008
Contact Information
5635 LAKESHORE RD
FORT GRATIOT, MI
ZIP 48059
Phone: (810) 385-7447
- Organization
- Skilled Nursing Facility
- Accepts Insurance
- CLIA Number: 23D1085791
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 06-25-2026
About MEDILODGE OF PORT HURON, LLC
This page provides the complete NPI Profile along with additional information for Medilodge Of Port Huron, Llc, a provider established in Fort Gratiot, Michigan operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1891955720 assigned on June 2008. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Kathleen Denean (Chief Executive Officer)
- NPI
- 1891955720
- Provider Name
- MEDILODGE OF PORT HURON, LLC
- Entity Type
- Organization
- Location Address
- 5635 LAKESHORE RD FORT GRATIOT, MI 48059
- Location Phone
- (810) 385-7447
- Mailing Address
- 5635 LAKESHORE RD FORT GRATIOT, MI 48059
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-13-2008
- Last Update Date
- 06-13-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Skilled Nursing Facility
- Taxonomy Code
- 314000000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- (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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- MHP Bronze - HMO
- MHP Bronze Saver (Expanded) - HMO
- MHP Expanded Bronze Standard - HMO
- MHP Gold - HMO
- MHP Gold Standard - HMO
- MHP Silver Exchange - HMO
- MHP Silver Exchange Rewards - HMO
- MHP Silver Standard - HMO
- MHP Young Adult/Catastrophic - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 23D1085791
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- June 26, 2024
- Certificate Expiration Date
- June 25, 2026
- Laboratory Director
- JOANNA GORECKI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Medilodge Of Port Huron, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1891955720, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 70 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891955720, enumerated as an "organization" on June 13, 2008.
The provider is located at 5635 LAKESHORE RD FORT GRATIOT, MI 48059 and the phone number is (810) 385-7447.
Skilled Nursing Facility with taxonomy code 314000000X.
The provider might be accepting Accepts: McLaren Health Plan Community. Please consult your insurance carrier or call the provider to verify.
