Medilodge of Howell Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MEDILODGE OF HOWELL INC

Practice address

1333 W Grand River Ave
Howell, MI 48843-1980

Phone

(517) 548-1900

Fax

(517) 548-0109

NPI assigned

Mar 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Stacey Paul Rogers

Title

Chief Financial Officer

Phone

(502) 429-8062

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MEDILODGE OF HOWELL Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Skilled nursing facility certification: CCN 235331

Legal name

MEDILODGE OF HOWELL, INC.

Doing business as

MEDILODGE OF HOWELL

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Apr 1, 1977

Last certification

Sep 19, 2024

Beds

206

Ownership / control type

Corporation

Multi-facility organization

Prestige Healthcare

Organization structure

CorporationProprietary

Incorporated

Jun 13, 1991 in MI

Enrollment address

1333 W Grand River Ave
Howell, MI 48843-1980

Nursing home name

MEDILODGE OF HOWELL

Affiliated entity

MEDILODGE

Listed as

Medilodge of HowellCCN 235331

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Apr 1, 1977

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

206180.7 residents per day on average

Chain

Medilodge53 facilities in the chain

Penalties (3 years)

2Fines totaling $71,919

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

All disclosed owners & managing parties 10

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

Facilities with the same owner 77

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

• Alpena Opco LLC

  • Skilled Nursing Facility
  • Alpena, MI
  • NPI 1891211264

  B&Y Trust, Craig Flashner 2007 Trust, Prestige Administrative Services, LLC

  CMS ownership
• Capital Area Opco LLC

  • Skilled Nursing Facility
  • Lansing, MI
  • NPI 1528465739

  B&Y Trust, Craig Flashner 2007 Trust, Prestige Administrative Services, LLC

  CMS ownership
• Cass City Opco LLC

  • Skilled Nursing Facility
  • Cass City, MI
  • NPI 1316344526

  B&Y Trust, Craig Flashner 2007 Trust, Prestige Administrative Services, LLC

  CMS ownership
• Cheboygan Opco LLC

  • Skilled Nursing Facility
  • Cheboygan, MI
  • NPI 1295251676

  B&Y Trust, Craig Flashner 2007 Trust, Prestige Administrative Services, LLC

  CMS ownership
• Clare Opco LLC

  • Skilled Nursing Facility
  • Clare, MI
  • NPI 1659778868

  B&Y Trust, Craig Flashner 2007 Trust, Prestige Administrative Services, LLC

  CMS ownership
• East Lansing Opco LLC

  • Skilled Nursing Facility
  • East Lansing, MI
  • NPI 1730546250

  B&Y Trust, Craig Flashner 2007 Trust, Prestige Administrative Services, LLC

  CMS ownership
• Farmington Opco LLC

  • Skilled Nursing Facility
  • Farmington, MI
  • NPI 1629442215

  B&Y Trust, Craig Flashner 2007 Trust

  CMS ownership
• Frankenmuth Opco, LLC

  • Skilled Nursing Facility
  • Frankenmuth, MI
  • NPI 1427455641

  B&Y Trust, Craig Flashner 2007 Trust, Prestige Administrative Services, LLC

  CMS ownership
• Gaylord Opco, LLC

  • Skilled Nursing Facility
  • Gaylord, MI
  • NPI 1215453691

  B&Y Trust, Craig Flashner 2007 Trust, Prestige Administrative Services, LLC

  CMS ownership
• Grand Blanc Opco LLC

  • Skilled Nursing Facility
  • Grand Blanc, MI
  • NPI 1790180255

  B&Y Trust, Craig Flashner 2007 Trust, Generations Healthcare Management LLC, Prestige Administrative Services, LLC

  CMS ownership
• Grand Haven Opco LLC

  • Skilled Nursing Facility
  • Grand Haven, MI
  • NPI 1770078263

  B&Y Trust, Craig Flashner 2007 Trust, Prestige Administrative Services, LLC

  CMS ownership
• Grand Rapids Opco, LLC

  • Skilled Nursing Facility
  • Grand Rapids, MI
  • NPI 1083347660

  B&Y Trust, Craig Flashner 2007 Trust, Prestige Administrative Services, LLC

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Amlog, M.D.

  • Family Medicine Physician
  • Ann Arbor, MI
  • NPI 1215196225
  NPD (past)
• Manpal Singh Gill, DO

  • Family Medicine Physician
  • Howell, MI
  • NPI 1518662642
  NPD (past)

Affiliated clinicians 2

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

• Michael Amlog, M.D.

  • Family Medicine Physician
  • Ann Arbor, MI
  • NPI 1215196225

  Nursing home

  Care Compare affiliation
• Manpal Singh Gill, DO

  • Family Medicine Physician
  • Howell, MI
  • NPI 1518662642

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1053371641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 NEW LA GRANGE RD",
            "address_2": "SUITE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224870",
            "telephone_number": "502-429-8062",
            "fax_number": "502-429-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 W GRAND RIVER AVE",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488431980",
            "telephone_number": "517-548-1900",
            "fax_number": "517-548-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDILODGE OF HOWELL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "502-429-8062",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053371641",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDILODGE OF HOWELL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Douglas McLearon, M.D.
• Allan McMonagle, MSOT, OTRL
• Alexandra McMullen, NP-C
• Dorothy McShane, P.A.
• Medical Office of John Vassallo MD PLLC
• Gioconda Lorenza Medina-Perez, D.D.S.
• Meijer Inc
• Melissa Osborn, PLLC
• Angela Marie Melville, MS
• Natalie Mencotti

• All providers in Howell, MI
• Skilled Nursing Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; 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.

Verify at the official NPI Registry.