NPIMap

Organization Active NPI

Optalis Grand Rapids Opco LLC

Doing business as Optalis Health and Rehabilitation of Grand Rapids

  • Skilled Nursing Facility
  • Grand Rapids, MI
National Provider Identifier
1043050081
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
OPTALIS GRAND RAPIDS OPCO LLC
Doing business as
Optalis Health and Rehabilitation of Grand Rapids
Practice address
1950 32ND St SE
Grand Rapids, MI 49508-7909
Phone
(616) 452-5900
Fax
(615) 645-2427
NPI assigned
May 28, 2024
Last updated
Jun 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Megan Burch
Title
Administrator
Phone
(616) 452-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1950 32ND St SE
Grand Rapids, MI 49508-7909

Mailing address

1950 32ND St SE
Grand Rapids, MI 49508-7909
Phone (616) 452-6084

Other names 1

  • Optalis Health and Rehabilitation of Grand Rapids Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240905000471 MI Part A Provider - Skilled Nursing Facility 9537609532 Practice locations: Grand Rapids, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043050081. Details of each certification follow.

Skilled nursing facility certification: CCN 235458

Legal name
OPTALIS GRAND RAPIDS OPCO LLC
Doing business as
OPTALIS HEALTH AND REHABILITATION OF GRAND RAPIDS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1987
Last certification
May 8, 2025
Beds
125 (120 certified)
Ownership / control type
Individual
Most recent change of ownership
Aug 7, 2024
Organization structure
LLCProprietary
Enrollment address
1950 32ND St SE
Grand Rapids, MI 49508-7909
Nursing home name
OPTALIS HEALTH AND REHABILITATION OF GRAND RAPIDS
Affiliated entity
OPTALIS HEALTH & REHABILITATION

Care Compare: Nursing home

Medicare Care Compare
Listed as
Optalis Health and Rehabilitation of Grand RapidsCCN 235458 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Jan 1, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120100.5 residents per day on average
Chain
Optalis Health & Rehabilitation36 facilities in the chain
Special focus status
SFF Candidate
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
5Fines totaling $136,785

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0662855Optalis Health & Rehabilitation of Grand Rapids1950 32ND Street, Grand Rapids, MI 49508Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Thomas Lyon Individual Operational/Managerial Control Nov 15, 2024
Adp of the SNF Dec 4, 2024
Optum Management Solutions. Inc Organization, Novi, MI Corporation, Management services company Operational/Managerial Control Dec 4, 2024
Adp of the SNF Dec 4, 2024
Paar 108 LLC Organization, Northville, MI LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 7, 2024 100%
Adp of the SNF Nov 15, 2024
Pinal R Patel Revocable Trust Organization, Northville, MI 5% Or Greater Indirect Ownership Interest Aug 7, 2024 25%
Adp of the SNF Nov 15, 2024
Pinal R Patel 2017 Irrv TR Uad 6-14-17 Organization, Northville, MI 5% Or Greater Indirect Ownership Interest Aug 7, 2024 50%
Adp of the SNF Nov 15, 2024
Paar 108-GR LLC Organization, Novi, MI LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 7, 2024 100%
Adp of the SNF Nov 15, 2024
Rajan Patel Individual Corporate DirectorCeo Aug 7, 2024 33.4%
Managing Control - Governing BodyCeo Aug 7, 2024
Matthew C Slendebroek Individual Operational/Managerial Control Nov 15, 2024
Adp of the SNF Dec 4, 2024
Optalis Grand Rapids Propco LLC Organization, Novi, MI LLC Adp of the SNF Nov 15, 2024
Rajan G Patel Revocable Trust Organization, Northville, MI 5% Or Greater Indirect Ownership Interest Aug 7, 2024 25%
Adp of the SNF Nov 15, 2024
Andrew B Bilbao Individual Operational/Managerial Control Aug 7, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 35

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 35

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781827200000",
    "number": "1043050081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 32ND ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495087909",
            "telephone_number": "616-452-6084",
            "fax_number": "616-452-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 32ND ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495087909",
            "telephone_number": "616-452-5900",
            "fax_number": "615-645-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTALIS GRAND RAPIDS OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-28",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A",
        "authorized_official_last_name": "BURCH",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "616-452-5900"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optalis Health and Rehabilitation of Grand Rapids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.