Active NPI
Optalis Three Rivers Opco LLC
Doing business as Optalis Health and Rehabilitation of Three Rivers
- Skilled Nursing Facility
- Three Rivers, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- OPTALIS THREE RIVERS OPCO LLC
- Doing business as
- Optalis Health and Rehabilitation of Three Rivers
- Practice address
- 517 S Erie St
Three Rivers, MI 49093-2029 - Phone
- (269) 273-8661
- NPI assigned
- Feb 6, 2023
- Last updated
- Jun 19, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kendall Adkins
- Title
- Administrator
- Phone
- (269) 273-8661
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
517 S Erie St
Three Rivers, MI 49093-2029
Mailing address
517 S Erie St
Three Rivers, MI 49093-2029
Phone (269) 273-8661
Other names 1
- Optalis Health and Rehabilitation of Three Rivers
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230531002128 | MI | Part A Provider - Skilled Nursing Facility | 1951768324 | Practice locations: Three Rivers, MI |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1053017632. Details of each certification follow.
Skilled nursing facility certification: CCN 235395
- Legal name
- OPTALIS THREE RIVERS OPCO LLC
- Doing business as
- OPTALIS HEALTH AND REHABILITATION OF THREE RIVERS
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Jan 22, 1979
- Last certification
- Oct 1, 2024
- Beds
- 100
- Ownership / control type
- Corporation
- Multi-facility organization
- Optalis Healthcare
- Organization structure
- LLC
- Incorporated
- Dec 8, 2022 in MI
- Enrollment address
- 517 S Erie St
Three Rivers, MI 49093-2029 - Nursing home name
- OPTALIS HEALTH AND REHABILITATION OF THREE RIVERS
- Affiliated entity
- OPTALIS HEALTH & REHABILITATION
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Optalis Health and Rehabilitation of Three Rivers
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 22, 1979
- Medicare certification status
- Active
- Certified beds
- 100
- Chain
- Optalis Health & Rehabilitation
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 3
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D0683946 | Optalis Health & Rehabilitation of Three Rivers | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 45
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Siena Lending Group LLC | 5% Or Greater Security Interest | Apr 7, 2023 | 10% |
| Pinal R. Patel 2017 Irrevocable Trust F/B/O Aarna R. Patel | 5% Or Greater Indirect Ownership Interest | Apr 7, 2023 | 7.5% |
| Indirect Ownership Interest | Apr 7, 2023 | 0.11% | |
| Indirect Ownership Interest | Apr 7, 2023 | 1.43% | |
| Charles Westland LLC | 5% Or Greater Indirect Ownership Interest | Apr 7, 2023 | 30% |
| Indirect Ownership Interest | Apr 7, 2023 | 0.11% | |
| Indirect Ownership Interest | Apr 7, 2023 | 0.3% | |
| Cliftonlarsonallen LLP | Adp of the SNF | Jan 1, 2025 | |
| Indirect Ownership Interest | Apr 7, 2023 | 0.43% | |
| Indirect Ownership Interest | Apr 7, 2023 | 0.32% | |
| Optum Management Solutions. Inc | Operational/Managerial Control | Apr 7, 2023 | |
| Adp of the SNF | Nov 28, 2025 | ||
| Indirect Ownership Interest | Apr 7, 2023 | 0.8% | |
| Indirect Ownership Interest | Apr 7, 2023 | 0.11% | |
| SNW LLC | 5% Or Greater Indirect Ownership Interest | Apr 7, 2023 | 30% |
| Indirect Ownership Interest | Apr 7, 2023 | 0.36% | |
| Indirect Ownership Interest | Apr 7, 2023 | 0.96% | |
| Indirect Ownership Interest | Apr 7, 2023 | 0.11% | |
| Paar 108 LLC | 5% Or Greater Indirect Ownership Interest | Apr 7, 2023 | 30% |
| Indirect Ownership Interest | Apr 7, 2023 | 0.32% | |
| Jasmine E Dorsey | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Nov 28, 2025 | ||
| Om Holdco 5 LLC | 5% Or Greater Direct Ownership Interest | Apr 7, 2023 | 100% |
| Indirect Ownership Interest | Apr 7, 2023 | 0.11% | |
| Indirect Ownership Interest | Apr 7, 2023 | 0.21% | |
| Charles Franklin LLC | 5% Or Greater Indirect Ownership Interest | Apr 7, 2023 | 30% |
| Indirect Ownership Interest | Apr 7, 2023 | 0.43% | |
| Indirect Ownership Interest | Apr 7, 2023 | 0.21% | |
| Hemant Shah 2018 Irrevocable Trust | 5% Or Greater Indirect Ownership Interest | Apr 7, 2025 | 29.47% |
| Indirect Ownership Interest | Apr 7, 2023 | 0.09% | |
| Indirect Ownership Interest | Apr 7, 2023 | 0.11% | |
| Rajan Patel | Operational/Managerial Control | Apr 7, 2023 | |
| Managing Control - Governing Body | Apr 7, 2023 | ||
| Rajan G Patel 2020 Irr Fam TR Uad 12-3-2020 | 5% Or Greater Indirect Ownership Interest | Apr 7, 2023 | 8.21% |
| Charity Renee Nona Morgan | Operational/Managerial Control | Jan 1, 2025 | |
| Indirect Ownership Interest | Apr 7, 2023 | 1.57% | |
| Indirect Ownership Interest | Apr 7, 2023 | 0.18% | |
| Marianne B Conner | Adp of the SNF | May 13, 2024 | |
| Angie M Keith | Operational/Managerial Control | Dec 1, 2025 | |
| Adp of the SNF | Dec 19, 2025 | ||
| Indirect Ownership Interest | Apr 7, 2023 | 0.11% | |
| Schlaupitz Madhavan | Adp of the SNF | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Indirect Ownership Interest | Apr 7, 2023 | 0.11% | |
| Optalis LP Investors 5 LLC | 5% Or Greater Indirect Ownership Interest | Apr 7, 2025 | 10% |
| Pinal R. Patel 2020 Irrevocable Family Trust Uad 10-6-2020 | 5% Or Greater Indirect Ownership Interest | Apr 7, 2023 | 8.21% |
| Indirect Ownership Interest | Apr 7, 2023 | 0.21% | |
| Indirect Ownership Interest | Apr 7, 2023 | 0.18% | |
| Pinal R. Patel 2017 Irrevocable Trust F/B/O Ansh R. Patel | 5% Or Greater Indirect Ownership Interest | Apr 7, 2023 | 7.5% |
| Robert Sharon | Operational/Managerial Control | May 13, 2024 | |
| Managing Control - Governing Body | May 13, 2024 | ||
| Adp of the SNF | May 13, 2024 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Battle Creek, MI
- NPI 1205149325
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 35
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Belle Fountain Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Riverview, MI
- NPI 1336106905
Optum Management Solutions. Inc
-
dba Greenfield Rehab and Nursing Center
- Skilled Nursing Facility
- Royal Oak, MI
- NPI 1528251071
Optum Management Solutions. Inc
-
dba Evergreen Health and Living Center
- Skilled Nursing Facility
- Southfield, MI
- NPI 1003812181
Charles Franklin LLC, Charles Westland LLC, Hemant Shah 2018 Irrevocable Trust, Optum Management Solutions. Inc, Paar 108 LLC, Pinal R. Patel 2017 Irrevocable Trust F/B/O Aarna R. Patel, Pinal R. Patel 2017 Irrevocable Trust F/B/O Ansh R. Patel, PI
-
dba The Lakeland Center
- Skilled Nursing Facility
- Southfield, MI
- NPI 1538253687
Optum Management Solutions. Inc
-
dba Four Seasons Nursing Center of Westland
- Skilled Nursing Facility
- Westland, MI
- NPI 1649275959
Optum Management Solutions. Inc
-
dba Optalis Health and Rehabilitation of Allen Park
- Skilled Nursing Facility
- Allen Park, MI
- NPI 1700582384
Charles Franklin LLC, Hemant Shah 2018 Irrevocable Trust, Om Holdco 5 LLC, Optalis LP Investors 5 LLC, Paar 108 LLC, Pinal R. Patel 2017 Irrevocable Trust F/B/O Aarna R. Patel, Pinal R. Patel 2017 Irrevocable Trust F/B/O Ansh R. Patel, Pinal R. Pat
-
dba Optalis Health and Rehabilitation of Ann Arbor
- Skilled Nursing Facility
- Ann Arbor, MI
- NPI 1437855012
Charles Franklin LLC, Charles Westland LLC, Hemant Shah 2018 Irrevocable Trust, Om Holdco 5 LLC, Optalis LP Investors 5 LLC, Paar 108 LLC, Pinal R. Patel 2017 Irrevocable Trust F/B/O Aarna R. Patel, Pinal R. Patel 2017 Irrevocable Trust F/B/O Ansh
-
dba Optalis Health & Rehabilitation at Kent-Crossing
- Skilled Nursing Facility
- Grand Rapids, MI
- NPI 1215723853
Paar 108 LLC, Pinal R. Patel 2017 Irrevocable Trust F/B/O Aarna R. Patel, Pinal R. Patel 2017 Irrevocable Trust F/B/O Ansh R. Patel, Pinal R. Patel 2020 Irrevocable Family Trust Uad 10-6-2020, Rajan G Patel 2020 Irr Fam TR Uad 12-3-2020
-
dba Optalis Health & Rehabilitation of Bloomfield Hills
- Skilled Nursing Facility
- Bloomfield Hills, MI
- NPI 1205622842
Optum Management Solutions. Inc, Paar 108 LLC, Pinal R. Patel 2017 Irrevocable Trust F/B/O Aarna R. Patel, Pinal R. Patel 2017 Irrevocable Trust F/B/O Ansh R. Patel, Pinal R. Patel 2020 Irrevocable Family Trust Uad 10-6-2020, Rajan G Patel 2020 Irr F
-
dba Optalis Health and Rehabilitation of Canton
- Skilled Nursing Facility
- Canton, MI
- NPI 1780380360
Charles Franklin LLC, Charles Westland LLC, Hemant Shah 2018 Irrevocable Trust, Om Holdco 5 LLC, Optum Management Solutions. Inc, Paar 108 LLC, Pinal R. Patel 2017 Irrevocable Trust F/B/O Aarna R. Patel, Pinal R. Patel 2017 Irrevocable Trust F/B/O
-
dba Optalis Health and Rehabilitation of Dearborn Heights
- Skilled Nursing Facility
- Dearborn Heights, MI
- NPI 1598461170
Charles Franklin LLC, Charles Westland LLC, Hemant Shah 2018 Irrevocable Trust, Om Holdco 5 LLC, Optalis LP Investors 5 LLC, Paar 108 LLC, Pinal R. Patel 2017 Irrevocable Trust F/B/O Aarna R. Patel, Pinal R. Patel 2017 Irrevocable Trust F/B/O Ansh
-
dba Optalis Health and Rehabilitation of Grand Rapids
- Skilled Nursing Facility
- Grand Rapids, MI
- NPI 1043050081
Optum Management Solutions. Inc, Paar 108 LLC
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Internal Medicine Physician
- Battle Creek, MI
- NPI 1205149325
-
- Family Medicine Physician
- Three Rivers, MI
- NPI 1437398831
-
- Family Medicine Physician
- Watervliet, MI
- NPI 1699744953
-
- Internal Medicine Physician
- Novi, MI
- NPI 1053519298
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1093792574
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": "1675641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781827200000",
"number": "1053017632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 S ERIE ST",
"city": "THREE RIVERS",
"state": "MI",
"postal_code": "490932029",
"telephone_number": "269-273-8661",
"fax_number": "269-279-6173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 S ERIE ST",
"city": "THREE RIVERS",
"state": "MI",
"postal_code": "490932029",
"telephone_number": "269-273-8661"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTALIS THREE RIVERS OPCO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-06",
"last_updated": "2026-06-19",
"certification_date": "2026-06-19",
"status": "A",
"authorized_official_last_name": "ADKINS",
"authorized_official_first_name": "KENDALL",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "269-273-8661"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Optalis Health and Rehabilitation of Three Rivers",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Three Rivers, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.