Organization Active NPI

Rogers City Opco, LLC

Doing business as Medilodge of Rogers City

  • Skilled Nursing Facility
  • Rogers City, MI
National Provider Identifier
1679090989
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ROGERS CITY OPCO, LLC
Doing business as
Medilodge of Rogers City
Practice address
555 N Bradley Hwy
Rogers City, MI 49779-1539
Phone
(989) 734-2151
NPI assigned
Aug 28, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 Primary

Addresses

Primary practice location

555 N Bradley Hwy
Rogers City, MI 49779-1539

Mailing address

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

Other names 1

  • Medilodge of Rogers City Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180220000984 MI Part A Provider - Skilled Nursing Facility 2567723349 Practice locations: Rogers City, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679090989. Details of each certification follow.

Skilled nursing facility certification: CCN 235553

Legal name
ROGERS CITY OPCO LLC
Doing business as
MEDILODGE OF ROGERS CITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 26, 1994
Last certification
May 1, 2025
Beds
90
Ownership / control type
Corporation
Multi-facility organization
Medilodge
Most recent change of ownership
Feb 1, 2018
Organization structure
LLCProprietary
Incorporated
Jul 25, 2017 in DE
Enrollment address
555 N Bradley Hwy
Rogers City, MI 49779-1539
Nursing home name
MEDILODGE OF ROGERS CITY
Affiliated entity
MEDILODGE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Medilodge of Rogers CityCCN 235553 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 26, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9083.1 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
23D0888464Rogers City Opco, LLC555 N Bradley Highway, Rogers City, MI 49779Certificate of waiverJul 6, 2028

National Provider Directory

National Provider Directory

Locations

555 N Bradley Hwy
Ste D
Rogers City, MI 49779
Phone (989) 734-2151

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
Cody Healthcare S Corp Organization, Agoura Hills, CA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2018 47.55%
B&Y Trust Organization, Brooklyn, NY 5% Or Greater Indirect Ownership Interest Feb 1, 2018 47.55%
Prestige Administrative Services, LLC Organization, Louisville, KY LLC, Consulting firm, For-profit Operational/Managerial Control Feb 1, 2018
Blossom Healthcare Management LLC Organization, Louisville, KY LLC, Management services company, For-profit Operational/Managerial Control Feb 1, 2018
Craig a Flashner Individual Corporate OfficerLLC Member / Governing Body Feb 2, 2018
Corporate DirectorLLC Member / Governing Body Feb 1, 2018
Operational/Managerial ControlLLC Member / Governing Body Feb 1, 2018
Kristine Ranel Kirk Individual W-2 Managing EmployeeBusiness Manager Feb 1, 2018
Robert L Norcross Individual Contracted Managing EmployeeCeo Feb 1, 2018
Craig Flashner 2007 Trust Organization, Agoura Hills, CA 5% Or Greater Indirect Ownership Interest Feb 1, 2018 47.55%
B&Y Healthcare S Corp Organization, Brooklyn, NY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2018 47.55%
Stacey Paul Rogers Individual Contracted Managing EmployeeCfo Feb 1, 2018
Yitzchok a Perlstein Individual Corporate OfficerLLC Member / Governing Body Feb 2, 2018
Corporate DirectorLLC Member / Governing Body Feb 1, 2018
Operational/Managerial ControlLLC Member / Governing Body Feb 1, 2018
Everest Opco Group LLC Organization, Louisville, KY LLC, For-profit 5% Or Greater Direct Ownership Interest Feb 1, 2018 100%

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 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": "1503878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1679090989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 NEW LA GRANGE RD STE 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": "555 N BRADLEY HWY",
            "city": "ROGERS CITY",
            "state": "MI",
            "postal_code": "497791539",
            "telephone_number": "989-734-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGERS CITY OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-28",
        "last_updated": "2022-07-21",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medilodge of Rogers City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rogers City, MI

Sources for this page

Verify at the official NPI Registry.