Organization Active NPI

Frankenmuth Opco, LLC

Doing business as Medilodge of Frankenmuth

  • Skilled Nursing Facility
  • Frankenmuth, MI
National Provider Identifier
1427455641
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FRANKENMUTH OPCO, LLC
Doing business as
Medilodge of Frankenmuth
Practice address
500 W Genesee St
Frankenmuth, MI 48734-1313
Phone
(989) 652-6101
Fax
(989) 652-3787
NPI assigned
Dec 3, 2014
Last updated
Jul 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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) 429-0650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

500 W Genesee St
Frankenmuth, MI 48734-1313

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1427455641MedicaidMI

Other names 1

  • Medilodge of Frankenmuth Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150811005048 MI Part A Provider - Skilled Nursing Facility 4486969078 Practice locations: Frankenmuth, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427455641. Details of each certification follow.

Skilled nursing facility certification: CCN 235175

Legal name
FRANKENMUTH OPCO LLC
Doing business as
MEDILODGE OF FRANKENMUTH
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 1, 1975
Last certification
Apr 3, 2025
Beds
105
Ownership / control type
Partnership
Multi-facility organization
Prestige Healthcare
Most recent change of ownership
Jul 1, 2015
Organization structure
LLCProprietary
Incorporated
Nov 14, 2014 in DE
Enrollment address
500W Genesee St
Frankenmuth, MI 48734-1313
Nursing home name
MEDILODGE OF FRANKENMUTH
Affiliated entity
MEDILODGE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Medilodge of FrankenmuthCCN 235175 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Partnership
Certified
Nov 1, 1975
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10584.1 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
23D0375121Frankenmuth Opco, LLC500 W Genesee Street, Frankenmuth, MI 48734Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Frankenmuth Opco LLC2 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.

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
Ark Opco Group, LLC Organization, Louisville, KY LLC, For-profit 5% Or Greater Direct Ownership Interest Jul 1, 2015 100%
Cody Healthcare S Corp Organization, Agoura Hills, CA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2015 47.55%
B&Y Trust Organization, Brooklyn, NY 5% Or Greater Indirect Ownership Interest Jul 1, 2015 47.55%
Prestige Administrative Services, LLC Organization, Louisville, KY LLC, Consulting firm, For-profit Operational/Managerial Control Jan 1, 2016
Craig a Flashner Individual Corporate DirectorLLC Member Jul 2, 2015
Operational/Managerial ControlLLC Member / Governing Body Jul 2, 2015
Kristine Ranel Kirk Individual W-2 Managing EmployeeBusiness Manager Sep 2, 2016
Robert L Norcross Individual Contracted Managing EmployeeCeo Jul 1, 2015
Craig Flashner 2007 Trust Organization, Agoura Hills, CA 5% Or Greater Indirect Ownership Interest Jul 1, 2015 47.55%
B&Y Healthcare S Corp Organization, Brooklyn, NY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2015 47.55%
Stacey Paul Rogers Individual Contracted Managing EmployeeCfo Jul 1, 2015
Noble Healthcare Management, LLC Organization, Louisville, KY LLC, Management services company, For-profit Operational/Managerial Control Jul 1, 2015
Yitzchok a Perlstein Individual Corporate DirectorLLC Member Jul 2, 2015
Operational/Managerial ControlLLC Member / Governing Body Jul 2, 2015

Facilities with the same owner 77

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

View all 77

Practitioners & affiliated clinicians

Practitioners 3

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 3

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": "1417564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1427455641",
    "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": "500 W GENESEE ST",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "487341313",
            "telephone_number": "989-652-6101",
            "fax_number": "989-652-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANKENMUTH OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-03",
        "last_updated": "2015-07-16",
        "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": "502-429-0650",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427455641",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medilodge of Frankenmuth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frankenmuth, MI

Sources for this page

Verify at the official NPI Registry.