MEDILODGE OF GRAND RAPIDS
NPI 1942936299
Assisted Living Facility in Grand Rapids, MI

Q: What is Grand Rapids Opco, LLC's NPI number?

The NPI number for Grand Rapids Opco, LLC is 1942936299. It was assigned to this organization in the NPPES registry on July 28, 2022. The provider is doing business as Medilodge Of Grand Rapids.

Q: What is Grand Rapids Opco, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since July 28, 2022

2000 LEONARD ST NE, GRAND RAPIDS, MI 49505(616) 458-1133(616) 458-0743 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 21, 2024, Aug 4, 2022, Jul 28, 2022 (3 updates tracked since 2022).

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About Medilodge Of Grand Rapids NPPES

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

MEDILODGE OF GRAND RAPIDS (NPI 1942936299) is a healthcare organization registered as an assisted living facility in Grand Rapids, Michigan and active in the NPI registry since July 2022. The organization lists Craig A Flashner, Llc Member, as its authorized official.

NPPES Registry Identity

NPI1942936299

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameGRAND RAPIDS OPCO, LLC

Location Address2000 LEONARD ST NEGrand Rapids, MI 49505-5837

Mailing Address7400 New La Grange Rd Ste 400Louisville, KY 40222-4870 · (502) 429-8069 · Fax (866) 360-1098

Phone(616) 458-1133

Fax(616) 458-0743

Organization SubpartNo

Authorized OfficialCraig A FlashnerLlc Member · (805) 819-3351

Enumeration DateJuly 28, 2022

Last NPPES UpdateJune 21, 20243 updates tracked since enumeration

NPPES CertifiedJune 21, 2024

✔ NPI 1942936299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

2000 LEONARD ST NE, Grand Rapids, MI 49505

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Other Names 1

Doing Business AsMedilodge Of Grand Rapids

Other Providers at the Same Location NPPES 10

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

KATELYN ESHBACH COTA-L

Occupational Therapy Assistant