Organization Active NPI

Optalis Three Rivers Opco LLC

Doing business as Optalis Health and Rehabilitation of Three Rivers

  • Skilled Nursing Facility
  • Three Rivers, MI
National Provider Identifier
1053017632
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 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, 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
Kendall Adkins
Title
Administrator
Phone
(269) 273-8661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 RiversCCN 235395 · 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 - Corporation
Certified
Jan 22, 1979
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10080.9 residents per day on average
Chain
Optalis Health & Rehabilitation36 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
3Fines totaling $40,700

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
23D0683946Optalis Health & Rehabilitation of Three Rivers517 S Erie Street, Three Rivers, MI 49093Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Siena Lending Group LLC Organization, Stamford, CT LLC, Owned by another organization or individual 5% Or Greater Security Interest Apr 7, 2023 10%
Pinal R. Patel 2017 Irrevocable Trust F/B/O Aarna R. Patel Organization, Northville, MI 5% Or Greater Indirect Ownership Interest Apr 7, 2023 7.5%
Organization, Farmington Hills, MI Indirect Ownership Interest Apr 7, 2023 0.11%
Organization, Shelby TWP, MI LLC, Owned by another organization or individual Indirect Ownership Interest Apr 7, 2023 1.43%
Charles Westland LLC Organization, Franklin, MI 5% Or Greater Indirect Ownership Interest Apr 7, 2023 30%
Individual Indirect Ownership Interest Apr 7, 2023 0.11%
Individual Indirect Ownership Interest Apr 7, 2023 0.3%
Cliftonlarsonallen LLP Organization, Maumee, OH Adp of the SNF Jan 1, 2025
Organization, Northville, MI Indirect Ownership Interest Apr 7, 2023 0.43%
Organization, Clermont, FL LLC, Owned by another organization or individual Indirect Ownership Interest Apr 7, 2023 0.32%
Optum Management Solutions. Inc Organization, Novi, MI Corporation, Management services company Operational/Managerial Control Apr 7, 2023
Adp of the SNF Nov 28, 2025
Indirect Ownership Interest Apr 7, 2023 0.8%
Individual Indirect Ownership Interest Apr 7, 2023 0.11%
SNW LLC Organization, Farmington Hills, MI LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 7, 2023 30%
Organization, Fort Myers, FL LLC, Owned by another organization or individual Indirect Ownership Interest Apr 7, 2023 0.36%
Organization, Glendale, AZ LLC, Owned by another organization or individual Indirect Ownership Interest Apr 7, 2023 0.96%
Individual Indirect Ownership Interest Apr 7, 2023 0.11%
Paar 108 LLC Organization, Northville, MI LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 7, 2023 30%
Organization, New Rochelle, NY Indirect Ownership Interest Apr 7, 2023 0.32%
Jasmine E Dorsey Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Nov 28, 2025
Om Holdco 5 LLC Organization, Novi, MI LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 7, 2023 100%
Individual Indirect Ownership Interest Apr 7, 2023 0.11%
Individual Indirect Ownership Interest Apr 7, 2023 0.21%
Charles Franklin LLC Organization, Franklin, MI LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 7, 2023 30%
Organization, Rocky Hill, CT LLC, Owned by another organization or individual Indirect Ownership Interest Apr 7, 2023 0.43%
Individual Indirect Ownership Interest Apr 7, 2023 0.21%
Hemant Shah 2018 Irrevocable Trust Organization, Farmington Hills, MI 5% Or Greater Indirect Ownership Interest Apr 7, 2025 29.47%
Organization, Bloomfield Hills, MI Indirect Ownership Interest Apr 7, 2023 0.09%
Individual Indirect Ownership Interest Apr 7, 2023 0.11%
Rajan Patel Individual Operational/Managerial Control Apr 7, 2023
Managing Control - Governing BodyCeo Apr 7, 2023
Rajan G Patel 2020 Irr Fam TR Uad 12-3-2020 Organization, Northville, MI 5% Or Greater Indirect Ownership Interest Apr 7, 2023 8.21%
Charity Renee Nona Morgan Individual Operational/Managerial Control Jan 1, 2025
Organization, Bloomfield Hills, MI LLC, Owned by another organization or individual Indirect Ownership Interest Apr 7, 2023 1.57%
Organization, Dearborn, MI Indirect Ownership Interest Apr 7, 2023 0.18%
Marianne B Conner Individual Adp of the SNF May 13, 2024
Angie M Keith Individual Operational/Managerial Control Dec 1, 2025
Adp of the SNF Dec 19, 2025
Organization, Farmingdale, NJ LLC, Owned by another organization or individual Indirect Ownership Interest Apr 7, 2023 0.11%
Schlaupitz Madhavan Organization, Troy, MI Corporation Adp of the SNF Jan 1, 2025
Individual Adp of the SNF Jan 1, 2025
Organization, Farmington Hills, MI LLC, Owned by another organization or individual Indirect Ownership Interest Apr 7, 2023 0.11%
Optalis LP Investors 5 LLC Organization, Novi, MI LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 7, 2025 10%
Pinal R. Patel 2020 Irrevocable Family Trust Uad 10-6-2020 Organization, Northville, MI 5% Or Greater Indirect Ownership Interest Apr 7, 2023 8.21%
Organization, Shelby TWP, MI LLC, Owned by another organization or individual Indirect Ownership Interest Apr 7, 2023 0.21%
Individual Indirect Ownership Interest Apr 7, 2023 0.18%
Pinal R. Patel 2017 Irrevocable Trust F/B/O Ansh R. Patel Organization, Northville, MI 5% Or Greater Indirect Ownership Interest Apr 7, 2023 7.5%
Robert Sharon Individual Operational/Managerial Control May 13, 2024
Managing Control - Governing BodyCfo 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.

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 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.

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

Verify at the official NPI Registry.