Organization Active NPI

Optalis Grosse Pointe Opco LLC

Doing business as Optalis Health and Rehabilitation of Grosse Pointe Woods

  • Skilled Nursing Facility
  • Grosse Pointe Woods, MI
National Provider Identifier
1346946928
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
OPTALIS GROSSE POINTE OPCO LLC
Doing business as
Optalis Health and Rehabilitation of Grosse Pointe Woods
Practice address
21401 Mack Ave
Grosse Pointe Woods, MI 48236-1048
Phone
(586) 778-0800
NPI assigned
Feb 6, 2023
Last updated
Jun 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Authorized official

Name
Ashley Russ
Title
Administrator
Phone
(313) 969-6903

Specialties & licenses 1

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

Addresses

Primary practice location

21401 Mack Ave
Grosse Pointe Woods, MI 48236-1048

Mailing address

21401 Mack Ave
Grosse Pointe Woods, MI 48236-1048
Phone (586) 778-0800

Other names 1

  • Optalis Health and Rehabilitation of Grosse Pointe Woods Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230531003462 MI Part A Provider - Skilled Nursing Facility 2062879356 Practice locations: Grosse Pointe Woods, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346946928. Details of each certification follow.

Skilled nursing facility certification: CCN 235109

Legal name
OPTALIS GROSSE POINTE OPCO LLC
Doing business as
OPTALIS HEALTH AND REHABILITATION OF GROSSE POINT WOODS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jan 25, 1967
Last certification
Jul 18, 2024
Beds
80
Ownership / control type
Corporation
Multi-facility organization
Optalis Healthcare
Organization structure
LLCProprietary
Incorporated
Dec 8, 2022 in MI
Enrollment address
21401 Mack Ave
Grosse Pointe Woods, MI 48236-1048
Nursing home name
OPTALIS HEALTH AND REHABILITATION OF GROSSE POINTE WOODS
Affiliated entity
OPTALIS HEALTH & REHABILITATION

Care Compare: Nursing home

Medicare Care Compare
Listed as
Optalis Health and Rehabilitation of Grosse PointeCCN 235109 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 25, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8075.5 residents per day on average
Chain
Optalis Health & Rehabilitation36 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
23D0688075Optalis Health & Rehabilitation of21401 Mack, Grosse Pointe, MI 48236Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 45

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

NameRoleSinceShare
Siena Lending Group LLC Organization, Stamford, CT LLC, Financial institution, Owned by another organization or individual 5% Or Greater Security Interest Apr 7, 2023 10%
Organization, Bloomfield Hills, MI LLC, Owned by another organization or individual Indirect Ownership Interest Apr 7, 2023 1.57%
Organization, Glendale, AZ LLC, Owned by another organization or individual Indirect Ownership Interest Apr 7, 2023 0.96%
Pinal R. Patel 2017 Irrevocable Trust F/B/O Aarna R. Patel Organization, Northville, MI 5% Or Greater Indirect Ownership Interest Apr 7, 2023 7.5%
Charles Westland LLC Organization, Franklin, MI 5% Or Greater Indirect Ownership Interest Apr 7, 2023 30%
Organization, Dearborn, MI Indirect Ownership Interest Apr 7, 2023 0.18%
Organization, Shelby TWP, MI LLC, Owned by another organization or individual Indirect Ownership Interest Apr 7, 2023 0.21%
Cliftonlarsonallen LLP Organization, Maumee, OH Adp of the SNF Jan 1, 2025
Optum Management Solutions. Inc Organization, Novi, MI Corporation, Management services company Operational/Managerial Control Apr 7, 2023
Adp of the SNF Apr 7, 2023
Indirect Ownership Interest Apr 7, 2023 0.8%
Individual Indirect Ownership Interest Apr 7, 2023 0.18%
Individual Indirect Ownership Interest Apr 7, 2023 0.11%
Organization, Farmington Hills, MI Indirect Ownership Interest Apr 7, 2023 0.11%
SNW LLC Organization, Farmington Hills, MI LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 7, 2023 30%
Lakara Shalee Arnold Individual Operational/Managerial Control Jan 1, 2025
Individual Indirect Ownership Interest Apr 7, 2023 0.11%
Organization, Farmingdale, NJ LLC, Owned by another organization or individual Indirect Ownership Interest Apr 7, 2023 0.11%
Paar 108 LLC Organization, Northville, MI LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 7, 2023 30%
Individual Indirect Ownership Interest Apr 7, 2023 0.21%
Om Holdco 5 LLC Organization, Novi, MI LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 7, 2023 100%
Organization, Northville, MI Indirect Ownership Interest Apr 7, 2023 0.43%
Charles Franklin LLC Organization, Franklin, MI LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 7, 2023 30%
Individual Indirect Ownership Interest Apr 7, 2023 0.11%
Hemant Shah 2018 Irrevocable Trust Organization, Farmington Hills, MI 5% Or Greater Indirect Ownership Interest Apr 7, 2023 29.7%
Individual Indirect Ownership Interest Apr 7, 2023 0.21%
Individual Indirect Ownership Interest Apr 7, 2023 0.11%
Organization, Farmington Hills, MI LLC, Owned by another organization or individual Indirect Ownership Interest Apr 7, 2023 0.11%
Organization, Fort Myers, FL LLC, Owned by another organization or individual Indirect Ownership Interest Apr 7, 2023 0.36%
Rajan Patel Individual Operational/Managerial Control Apr 7, 2023
Managing Control - Governing BodyCeo Apr 7, 2023
Rajan G Patel 2020 Irr Fam TR Uad 12-3-2020 Organization, Northville, MI 5% Or Greater Indirect Ownership Interest Apr 7, 2023 8.21%
Individual Adp of the SNF Jan 1, 2025
Marianne B Conner Individual Adp of the SNF May 13, 2024
Organization, New Rochelle, NY Indirect Ownership Interest Apr 7, 2023 0.32%
Organization, Shelby TWP, MI LLC, Owned by another organization or individual Indirect Ownership Interest Apr 23, 2025 1.43%
Individual Indirect Ownership Interest Apr 7, 2023 0.3%
Schlaupitz Madhavan Organization, Troy, MI Corporation Adp of the SNF Jan 1, 2025
Organization, Rocky Hill, CT Investment firm, Owned by another organization or individual Indirect Ownership Interest Apr 7, 2023 0.43%
Optalis LP Investors 5 LLC Organization, Novi, MI LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 7, 2023 10%
Kelsey Michelin Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Nov 28, 2025
Individual Indirect Ownership Interest Apr 7, 2023 0.11%
Seth Byron Parker Individual Operational/Managerial Control Apr 7, 2023
Adp of the SNF Nov 28, 2025
Pinal R. Patel 2020 Irrevocable Family Trust Uad 10-6-2020 Organization, Northville, MI 5% Or Greater Indirect Ownership Interest Apr 7, 2023 8.21%
Organization, Bloomfield Hills, MI Indirect Ownership Interest Apr 7, 2023 0.09%
Organization, Clermont, FL LLC, Owned by another organization or individual Indirect Ownership Interest Apr 7, 2023 0.32%
Pinal R. Patel 2017 Irrevocable Trust F/B/O Ansh R. Patel Organization, Northville, MI 5% Or Greater Indirect Ownership Interest Apr 7, 2023 7.5%
Robert Sharon Individual Operational/Managerial Control May 13, 2024
Managing Control - Governing BodyCfo May 13, 2024
Adp of the SNF May 13, 2024

Owners & managing parties with NPI records 1

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

Facilities with the same owner 35

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

View all 35

Practitioners & affiliated clinicians

Practitioners 1

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 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": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781827200000",
    "number": "1346946928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21401 MACK AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361048",
            "telephone_number": "586-778-0800",
            "fax_number": "586-778-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21401 MACK AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361048",
            "telephone_number": "586-778-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTALIS GROSSE POINTE 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": "RUSS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "313-969-6903"
    },
    "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 Grosse Pointe Woods",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grosse Pointe Woods, MI

Sources for this page

Verify at the official NPI Registry.