NPIMap

Organization Active NPI

Taylor 2 Opco, LLC

Doing business as The Lodge at Taylor

  • Skilled Nursing Facility
  • Taylor, MI
National Provider Identifier
1588061659
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
TAYLOR 2 OPCO, LLC
Doing business as
The Lodge at Taylor
Practice address
22950 Northline Rd
Taylor, MI 48180-4696
Phone
(734) 287-1230
Fax
(734) 287-1906
NPI assigned
Dec 4, 2014
Last updated
Jul 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 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) 429-8062

Specialties & licenses 1

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

Addresses

Primary practice location

22950 Northline Rd
Taylor, MI 48180-4696

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1588061659MedicaidMI

Other names 1

  • The Lodge at Taylor Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150811005715 MI Part A Provider - Skilled Nursing Facility 2668787284 Practice locations: Taylor, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1588061659. Details of each certification follow.

Skilled nursing facility certification: CCN 235541

Legal name
TAYLOR 2 OPCO LLC
Doing business as
THE LODGE AT TAYLOR
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Sep 15, 1993
Last certification
Dec 12, 2024
Beds
134
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Prestige Healthcare
Organization structure
LLCProprietary
Incorporated
Nov 14, 2014 in DE
Enrollment address
22950 Northline Rd
Taylor, MI 48180-4696
Nursing home name
THE LODGE AT TAYLOR
Affiliated entity
MEDILODGE

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Lodge at TaylorCCN 235541 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 15, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
134100.3 residents per day on average
Chain
Medilodge53 facilities in the chain
Penalties (3 years)
3Fines totaling $16,801

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
23D0874196Taylor 2 Opco, LLC22950 Northline Road, Taylor, MI 48180Certificate of waiverDec 31, 2026

National Provider Directory

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 1, 2015
Operational/Managerial ControlLLC Member / Governing Body Jul 2, 2015
Kristine Ranel Kirk Individual W-2 Managing EmployeeRegulatory Analyst Sep 1, 2016
Robert L Norcross Individual Contracted Managing EmployeeChief Executive Officer 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 EmployeeChief Financial Officer 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 1, 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.

  • 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

    Ark Opco Group, LLC, B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Noble Healthcare Management, LLC, Prestige Administrative Services, LLC

    CMS ownership
  • Cass City Opco LLC

    dba Medilodge of Cass City

    • Skilled Nursing Facility
    • Cass City, MI
    • NPI 1316344526

    Ark Opco Group, LLC, 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

    Ark Opco Group, LLC, B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Noble Healthcare Management, LLC, 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

    Ark Opco Group, LLC, B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Noble Healthcare Management, LLC, 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
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 5

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": "1417651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1588061659",
    "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": "22950 NORTHLINE RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481804696",
            "telephone_number": "734-287-1230",
            "fax_number": "734-287-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR 2 OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-04",
        "last_updated": "2015-07-17",
        "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": "1588061659",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Lodge at Taylor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Taylor, MI

Sources for this page

Verify at the official NPI Registry.