Optalis Kingsford Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

OPTALIS KINGSFORD OPCO LLC

Doing business as

Optalis Health and Rehabilitation of Kingsford

Practice address

1225 Woodward Ave
Kingsford, MI 49802-4312

Phone

(906) 774-4805

NPI assigned

Feb 6, 2023

Last updated

Jun 19, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Betty Usitalo

Title

Administrator

Phone

(906) 774-4805

Specialties & licenses 1

Addresses

Other names 1

• Optalis Health and Rehabilitation of Kingsford Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144926726. Details of each certification follow.

• CCN 235267 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 235267

Legal name

OPTALIS KINGSFORD OPCO LLC

Doing business as

OPTALIS HEALTH AND REHABILITATION OF KINGSFORD

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 1, 1976

Last certification

May 29, 2024

Beds

107

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Optalis Healthcare

Organization structure

LLCProprietary

Incorporated

Dec 8, 2022 in MI

Enrollment address

1225 Woodward Ave
Kingsford, MI 49802-4312

Nursing home name

OPTALIS HEALTH AND REHABILITATION OF KINGSFORD

Affiliated entity

OPTALIS HEALTH & REHABILITATION

Listed as

Optalis Health and Rehabilitation of KingsfordCCN 235267 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Mar 1, 1976

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10785.4 residents per day on average

Chain

Optalis Health & Rehabilitation36 facilities in the chain

Penalties (3 years)

6Fines totaling $130,734

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 43

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

Owners & managing parties with NPI records 1

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

• Colin Irish, DO

  • Family Medicine Physician
  • Munising, MI
  • NPI 1700947710

  Adp of the SNF

  CMS ownership

Facilities with the same owner 29

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

• Evergreen Health and Rehabilitation Center, LLC

  dba Evergreen Health and Living Center

  • Skilled Nursing Facility
  • Southfield, MI
  • NPI 1003812181

  Charles Franklin LLC, Charles Westland LLC, Hemant Shah 2018 Irrevocable Trust, 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 Fami

  CMS ownership
• Optalis Allen Park Opco LLC

  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

  CMS ownership
• Optalis Ann Arbor Opco LLC

  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

  CMS ownership
• Optalis Beltline Opco, LLC

  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

  CMS ownership
• Optalis Bloomfield Hills Opco, LLC

  dba Optalis Health & Rehabilitation of Bloomfield Hills

  • Skilled Nursing Facility
  • Bloomfield Hills, MI
  • NPI 1205622842

  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

  CMS ownership
• Optalis Canton Opco LLC

  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, 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 202

  CMS ownership
• Optalis Dearborn Heights Opco LLC

  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

  CMS ownership
• Optalis Grand Rapids Opco LLC

  dba Optalis Health and Rehabilitation of Grand Rapids

  • Skilled Nursing Facility
  • Grand Rapids, MI
  • NPI 1043050081

  Paar 108 LLC

  CMS ownership
• Optalis Grosse Pointe Opco LLC

  dba Optalis Health and Rehabilitation of Grosse Pointe Woods

  • Skilled Nursing Facility
  • Grosse Pointe Woods, MI
  • NPI 1346946928

  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

  CMS ownership
• Optalis Ionia Opco, LLC

  dba Optalis Health & Rehabilitation of Ionia

  • Skilled Nursing Facility
  • Ionia, MI
  • NPI 1669268207

  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

  CMS ownership
• Optalis Leonard Opco, LLC

  dba Optalis Health & Rehabilitation at Leonard

  • Skilled Nursing Facility
  • Grand Rapids, MI
  • NPI 1578359113

  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

  CMS ownership
• Optalis Saginaw Opco LLC

  dba Optalis Health and Rehabilitation at St. Francis

  • Skilled Nursing Facility
  • Saginaw, MI
  • NPI 1932958378

  Paar 108 LLC

  CMS ownership

Practitioners 8

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.

• Flora Ann Dean, MD

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1770632945
  NPD (past)
• Colin Irish, DO

  • Family Medicine Physician
  • Munising, MI
  • NPI 1700947710
  NPD (past)
• Nicole L Linder, MD

  • Family Medicine Physician
  • Iron Mountain, MI
  • NPI 1700871159
  NPD (past)
• Uchebike Nnagozie Nwankwo, MD

  • Adolescent Medicine (Internal Medicine) Physician
  • Lowell, MI
  • NPI 1962690073
  NPD (past)
• Drew Joseph Packey, D.O.

  • Internal Medicine Physician
  • Royal Oak, MI
  • NPI 1811302516
  NPD (past)
• Beth Ann Schroeder, M.D.

  • Family Medicine Physician
  • Iron Mountain, MI
  • NPI 1184616013
  NPD (past)
• Samuel E Ross, M.D.

  • Family Medicine Physician
  • Wakeman, OH
  • NPI 1275979296
  NPD (past)
• Charles David Talakkottur, M.D.

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1598949034
  NPD (past)

Affiliated clinicians 2

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

• Uchebike Nnagozie Nwankwo, MD

  • Adolescent Medicine (Internal Medicine) Physician
  • Lowell, MI
  • NPI 1962690073

  Nursing home

  Care Compare affiliation
• Beth Ann Schroeder, M.D.

  • Family Medicine Physician
  • Iron Mountain, MI
  • NPI 1184616013

  Nursing home

  Care Compare affiliation

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": "1144926726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 WOODWARD AVE",
            "city": "KINGSFORD",
            "state": "MI",
            "postal_code": "498024312",
            "telephone_number": "906-774-4805",
            "fax_number": "269-279-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 WOODWARD AVE",
            "city": "KINGSFORD",
            "state": "MI",
            "postal_code": "498024312",
            "telephone_number": "906-774-4805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTALIS KINGSFORD 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": "USITALO",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "906-774-4805"
    },
    "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 Kingsford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Kingsford, MI
• Providers in Kingsford, MI by specialty
• Skilled Nursing Facility in Michigan

• 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.

Verify at the official NPI Registry.