NPIMap

Organization Active NPI

Sterling Heights Opco LLC

Doing business as Medilodge of Sterling Heights

  • Skilled Nursing Facility
  • Sterling Heights, MI
National Provider Identifier
1174964480
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
STERLING HEIGHTS OPCO LLC
Doing business as
Medilodge of Sterling Heights
Practice address
14151 15 Mile Rd
Sterling Heights, MI 48312-5507
Phone
(586) 939-0200
Fax
(586) 939-9925
NPI assigned
Jul 15, 2013
Last updated
Dec 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

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

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

14151 15 Mile Rd
Sterling Heights, MI 48312-5507

Mailing address

7400 New la Grange Rd
Suite 100
Louisville, KY 40222-4870
Phone (502) 429-8062

Other identifiers 1

IdentifierTypeStateIssuer
1174964480MedicaidMI

Other names 1

  • MEDILODGE OF STERLING HEIGHTS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130823000783 MI Part A Provider - Skilled Nursing Facility 3476796426 Practice locations: Sterling Heights, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174964480. Details of each certification follow.

Skilled nursing facility certification: CCN 235263

Legal name
STERLING HEIGHTS OPCO LLC
Doing business as
MEDILODGE OF STERLING HEIGHTS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
May 1, 1976
Last certification
Mar 12, 2025
Beds
248
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Prestige Health Care
Organization structure
LLCProprietary
Incorporated
Jun 12, 2013 in DE
Enrollment address
14151 15 Mile Rd
Sterling Heights, MI 48312-5507
Nursing home name
MEDILODGE OF STERLING HEIGHTS
Affiliated entity
MEDILODGE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Medilodge of Sterling HeightsCCN 235263 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 1, 1976
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
248210.3 residents per day on average
Chain
Medilodge53 facilities in the chain

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
23D0669429Sterling Heights Opco, LLC14151 15 Mile Road, Sterling Heights, MI 48312Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Medilodge of Sterling Heights2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14151 15 Mile Rd
Sterling Hts, MI 48312
Phone (586) 939-0200

Ownership & 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.

NameRoleSinceShare
Fifteeninone Opco Group LLC Organization, Westlake Village, CA Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Jun 24, 2013 100%
Cody Healthcare S Corp Organization, Westlake Village, CA Corporation 5% Or Greater Indirect Ownership Interest Jun 24, 2013 47.55%
B&Y Trust Organization, Brooklyn, NY 5% Or Greater Indirect Ownership Interest Jun 24, 2013 47.55%
Prestige Administrative Services, LLC Organization, Louisville, KY For-profit Operational/Managerial Control Jan 1, 2016
Craig a Flashner Individual Operational/Managerial ControlLLC Manager Jun 24, 2013
Kristine Ranel Kirk Individual W-2 Managing EmployeeRegulatory Analyst Jan 1, 2018
Robert L Norcross Individual Contracted Managing EmployeeChief Executive Officer Jun 24, 2013
Craig Flashner 2007 Trust Organization, Westlake Village, CA 5% Or Greater Indirect Ownership Interest Jun 24, 2013 47.55%
B&Y Healthcare S Corp Organization, Brooklyn, NY Corporation 5% Or Greater Indirect Ownership Interest Jun 24, 2013 47.55%
Generations Healthcare Management LLC Organization, Louisville, KY Management services company Operational/Managerial Control Jun 24, 2013
Stacey Paul Rogers Individual Contracted Managing EmployeeChief Financial Officer Oct 20, 2014
Yitzchok a Perlstein Individual Operational/Managerial ControlLLC Manager Jun 24, 2013

Facilities with the same owner 77

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

  • Alpena Opco LLC

    dba Medilodge of Alpena

    • 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

    dba Medilodge of Capital Area

    • 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

    dba Medilodge of Cass City

    • 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

    dba Medilodge of Cheboygan

    • 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

    dba Medilodge of Clare

    • 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

    dba Medilodge of Campus Area

    • 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

    dba Medilodge of Farmington

    • 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

    dba Medilodge of Frankenmuth

    • 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

    dba Medilodge of Gaylord

    • 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

    dba Medilodge of Grand Blanc

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

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

    CMS ownership
  • Grand Haven Opco LLC

    dba Medilodge at the Shore

    • 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

    dba Medilodge of Grand Rapids

    • 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
View all 77

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 4

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": "1373846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1174964480",
    "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": "14151 15 MILE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483125507",
            "telephone_number": "586-939-0200",
            "fax_number": "586-939-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STERLING HEIGHTS OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-15",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174964480",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDILODGE OF STERLING HEIGHTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.