West Bloomfield Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WEST BLOOMFIELD OPCO LLC

Practice address

6950 Farmington Rd
West Bloomfield, MI 48322-3220

Phone

(248) 661-1700

Fax

(248) 661-7834

NPI assigned

Apr 25, 2025

Organization subpart

No

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

Authorized official

Name

Kristine Ranel Kirk

Title

Delegated Official

Phone

(417) 846-3521

Specialties & licenses 1

Addresses

Other names 1

• Medilodge of West Bloomfield Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Skilled nursing facility certification: CCN 235487

Legal name

WEST BLOOMFIELD OPCO, LLC

Doing business as

MEDILODGE OF WEST BLOOMFIELD

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

May 17, 1989

Last certification

Nov 20, 2024

Beds

140

Ownership / control type

Corporation

Multi-facility organization

Prestige

Most recent change of ownership

Jul 1, 2025

Organization structure

LLCProprietary

Enrollment address

6950 Farmington Rd
West Bloomfield, MI 48322-3220

Nursing home name

MEDILODGE OF WEST BLOOMFIELD

Affiliated entity

MEDILODGE

Listed as

Medilodge of West BloomfieldCCN 235487 · All quality measures

Overall star rating

2 of 5

Health inspections

1 of 5

Staffing

2 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

May 17, 1989

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

140122.7 residents per day on average

Chain

Medilodge53 facilities in the chain

Penalties (3 years)

2Fines totaling $62,790

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 20

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.

• Svetlana M Mishulin, MD

  • Internal Medicine Physician
  • Troy, MI
  • NPI 1841308996

  Adp of the SNF

  CMS 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 Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Prestige Administrative Services, LLC

  CMS ownership
• Capital Area Opco 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

  CMS ownership
• Cass City Opco 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

  CMS ownership
• Cheboygan Opco 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

  CMS ownership
• Clare Opco 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

  CMS ownership
• East Lansing Opco LLC

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

  B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Prestige Administrative Services, LLC

  CMS ownership
• Farmington Opco LLC

  • Skilled Nursing Facility
  • Farmington, MI
  • NPI 1629442215

  B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust

  CMS ownership
• Frankenmuth Opco, LLC

  • 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

  CMS ownership
• Gaylord Opco, 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

  CMS ownership
• Grand Blanc Opco 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

  CMS ownership
• Grand Haven Opco LLC

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

  B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Prestige Administrative Services, LLC

  CMS ownership
• Grand Rapids Opco, LLC

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

  B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Prestige Administrative Services, LLC

  CMS ownership

Practitioners 4

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

• Ali Alsaadi, M.D.

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1912941477
  NPD (past)
• David Allen Crowl Jr., DO

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1205044252
  NPD (past)
• Svetlana M Mishulin, MD

  • Internal Medicine Physician
  • Troy, MI
  • NPI 1841308996
  NPD (past)
• Prerana Nitin Rajhans, MD

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1083815781
  NPD (past)

Affiliated clinicians 5

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

• Ali Alsaadi, M.D.

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1912941477

  Nursing home

  Care Compare affiliation
• Nagashree Chandrashekar, MD

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1821092750

  Nursing home

  Care Compare affiliation
• David Allen Crowl Jr., DO

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1205044252

  Nursing home

  Care Compare affiliation
• Svetlana M Mishulin, MD

  • Internal Medicine Physician
  • Troy, MI
  • NPI 1841308996

  Nursing home

  Care Compare affiliation
• Prerana Nitin Rajhans, MD

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1083815781

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1745539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1174311732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6950 FARMINGTON RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223220",
            "telephone_number": "248-661-1700",
            "fax_number": "248-661-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 FARMINGTON RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223220",
            "telephone_number": "248-661-1700",
            "fax_number": "248-661-7834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BLOOMFIELD OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-25",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "RANEL",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "417-846-3521"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medilodge of West Bloomfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in West Bloomfield, MI
• Providers in West Bloomfield, 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 Oct 23, 2025; 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.