Haggerty Road Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HAGGERTY ROAD OPCO LLC

Doing business as

Medilodge of Haggerty Road

Practice address

105 N Haggerty Rd
Plymouth, MI 48170-1801

Phone

(734) 455-0510

Fax

(734) 455-7359

NPI assigned

Apr 25, 2025

Last updated

Oct 23, 2025By 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

Kristine Ranel Kirk

Title

Delegated Official

Phone

(417) 846-3521

Specialties & licenses 1

Addresses

Other names 1

• Medilodge of Haggerty Road 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 1386432946. Details of each certification follow.

• CCN 235351 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 235351

Legal name

HAGGERTY ROAD OPCO LLC

Doing business as

MEDILODGE OF HAGGERTY ROAD

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

May 1, 1978

Last certification

Aug 29, 2024

Beds

101

Ownership / control type

Limited Liability Corporation

Multi-facility organization

MediLodge

Most recent change of ownership

Jul 1, 2025

Organization structure

LLCProprietary

Enrollment address

105 N Haggerty Rd
Plymouth, MI 48170-1801

Nursing home name

MEDILODGE OF HAGGERTY ROAD

Affiliated entity

MEDILODGE

Listed as

Medilodge of Haggerty RoadCCN 235351 · All quality measures

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

4 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

May 1, 1978

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10185.6 residents per day on average

Chain

Medilodge53 facilities in the chain

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 19

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.

• Achraf Slim, M.D

  • Internal Medicine Physician
  • Dearborn, MI
  • NPI 1689962136

  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

  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, 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

Practitioners 2

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.

• Zeeshan Sharif, M.D.

  • Family Medicine Physician
  • Rochester Hills, MI
  • NPI 1689107393
  NPD (past)
• Achraf Slim, M.D

  • Internal Medicine Physician
  • Dearborn, MI
  • NPI 1689962136
  NPD (past)

Affiliated clinicians 3

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

• Anvita Bitta Saini, M.D.

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1558461392

  Nursing home

  Care Compare affiliation
• Zeeshan Sharif, M.D.

  • Family Medicine Physician
  • Rochester Hills, MI
  • NPI 1689107393

  Nursing home

  Care Compare affiliation
• Achraf Slim, M.D

  • Internal Medicine Physician
  • Dearborn, MI
  • NPI 1689962136

  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": "1386432946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N HAGGERTY RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701801",
            "telephone_number": "734-455-0510",
            "fax_number": "734-455-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N HAGGERTY RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701801",
            "telephone_number": "734-455-0510",
            "fax_number": "734-455-7359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAGGERTY ROAD 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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medilodge of Haggerty Road",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ferris Haddad
• Leah Catherine Haddad
• Eliza Haffey, RD
• Hannah Hagan
• Tara Hagey
• Erin Haggerty
• Heather D Haggerty, PSYD
• Allisha Hair
• Bryn Halabicky
• Dominique Halabo

• Skilled Nursing Facility in Plymouth, MI
• Providers in Plymouth, 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.