Active NPI
Grand Rapids Opco, LLC
- Skilled Nursing Facility
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- GRAND RAPIDS OPCO, LLC
- Practice address
- 2000 Leonard St NE
Grand Rapids, MI 49505-5837 - Phone
- (616) 458-1133
- Fax
- (616) 458-0743
- NPI assigned
- Jul 1, 2022
- 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
- Mr. Craig A Flashner
- Title
- LLC Member
- Phone
- (805) 819-3351
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
2000 Leonard St NE
Grand Rapids, MI 49505-5837
Mailing address
7400 New la Grange Rd Ste 400
Louisville, KY 40222-4870
Phone (502) 429-8069
Other names 1
- Medilodge of Grand Rapids
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220912001065 | MI | Part A Provider - Skilled Nursing Facility | 6305221383 | Practice locations: Grand Rapids, MI |
Skilled nursing facility certification: CCN 235038
- Legal name
- GRAND RAPIDS OPCO LLC
- Doing business as
- MEDILODGE OF GRAND RAPIDS
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1967
- Last certification
- Jun 4, 2025
- Beds
- 55
- Ownership / control type
- Corporation
- Most recent change of ownership
- Sep 1, 2022
- Organization structure
- LLC
- Incorporated
- Jun 15, 2022 in DE
- Enrollment address
- 2000 Leonard St NE
Grand Rapids, MI 49505-5837 - Nursing home name
- MEDILODGE OF GRAND RAPIDS
- Affiliated entity
- MEDILODGE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Medilodge of Grand Rapids
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 1, 1967
- Medicare certification status
- Active
- Certified beds
- 55
- Chain
- Medilodge
- Penalties (3 years)
- 4
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 12
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 |
|---|---|---|---|
| Cody Healthcare S Corp | 5% Or Greater Indirect Ownership Interest | Sep 1, 2022 | 43.05% |
| B&Y Trust | 5% Or Greater Indirect Ownership Interest | Sep 1, 2022 | 43.05% |
| Prestige Administrative Services, LLC | Operational/Managerial Control | Sep 1, 2022 | |
| Craig a Flashner | Corporate Director | Sep 1, 2022 | |
| Operational/Managerial Control | Sep 1, 2022 | ||
| Kristine Ranel Kirk | W-2 Managing Employee | Sep 1, 2022 | |
| Robert L Norcross | Contracted Managing Employee | Sep 1, 2022 | |
| Craig Flashner 2007 Trust | 5% Or Greater Indirect Ownership Interest | Sep 1, 2022 | 43.05% |
| B&Y Healthcare S Corp | 5% Or Greater Indirect Ownership Interest | Sep 1, 2022 | 43.05% |
| Stacey Paul Rogers | Contracted Managing Employee | Sep 1, 2022 | |
| Yitzchok a Perlstein | Corporate Director | Sep 1, 2022 | |
| Century Healthcare Management LLC | Operational/Managerial Control | Sep 1, 2022 | |
| Grand Rapids Holdco LLC | 5% Or Greater Direct Ownership Interest | Sep 1, 2022 | 100% |
Facilities with the same owner 77
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Alpena, MI
- NPI 1891211264
B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Prestige Administrative Services, LLC
-
- Skilled Nursing Facility
- Lansing, MI
- NPI 1528465739
B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Prestige Administrative Services, LLC
-
- Skilled Nursing Facility
- Cass City, MI
- NPI 1316344526
B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Prestige Administrative Services, LLC
-
- Skilled Nursing Facility
- Cheboygan, MI
- NPI 1295251676
B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Prestige Administrative Services, LLC
-
- Skilled Nursing Facility
- Clare, MI
- NPI 1659778868
B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Prestige Administrative Services, LLC
-
- Skilled Nursing Facility
- East Lansing, MI
- NPI 1730546250
B&Y Healthcare S Corp, B&Y Trust, Century Healthcare Management LLC, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Prestige Administrative Services, LLC
-
- Skilled Nursing Facility
- Farmington, MI
- NPI 1629442215
B&Y Healthcare S Corp, B&Y Trust, Century Healthcare Management LLC, Cody Healthcare S Corp, Craig Flashner 2007 Trust
-
- Skilled Nursing Facility
- Frankenmuth, MI
- NPI 1427455641
B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Prestige Administrative Services, LLC
-
- Skilled Nursing Facility
- Gaylord, MI
- NPI 1215453691
B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Prestige Administrative Services, LLC
-
- Skilled Nursing Facility
- Grand Blanc, MI
- NPI 1790180255
B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Prestige Administrative Services, LLC
-
- Skilled Nursing Facility
- Grand Haven, MI
- NPI 1770078263
B&Y Healthcare S Corp, B&Y Trust, Century Healthcare Management LLC, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Prestige Administrative Services, LLC
-
- Skilled Nursing Facility
- Alpena, MI
- NPI 1164948444
B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Prestige Administrative Services, LLC
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1811961907
-
- Family Medicine Physician
- Grand Rapids, MI
- NPI 1811942519
-
- General Practice Physician
- Southfield, MI
- NPI 1578561304
Affiliated clinicians 1
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": "1656633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718928000000",
"number": "1083347660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7400 NEW LA GRANGE RD STE 400",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402224870",
"telephone_number": "502-429-8069",
"fax_number": "866-360-1098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 LEONARD ST NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495055837",
"telephone_number": "616-458-1133",
"fax_number": "616-458-0743"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRAND RAPIDS OPCO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-01",
"last_updated": "2024-06-21",
"certification_date": "2024-06-21",
"status": "A",
"authorized_official_last_name": "FLASHNER",
"authorized_official_first_name": "CRAIG",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "LLC MEMBER",
"authorized_official_telephone_number": "805-819-3351",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Medilodge of Grand Rapids",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Grand Rapids, MI
- Grand Rapids Medical Education Partners
- Grand Rapids Medical Education Partners
- Grand Rapids Medical Education Partners
- Grand Rapids Natural Health
- Grand Rapids Neuropsychology PLLC
- Grand Rapids Opco, LLC
- Grand Rapids Pain Free Clinic Inc
- Grand Rapids Physical Therapy & Performance
- Grand Rapids Plastic Surgery PLC
- Grand Rapids Plastic Surgery PLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.