Organization Active NPI

Zeeland Opco LLC

Doing business as Medilodge of Zeeland

  • Skilled Nursing Facility
  • Zeeland, MI
National Provider Identifier
1710775085
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ZEELAND OPCO LLC
Doing business as
Medilodge of Zeeland
Practice address
285 N State St
Zeeland, MI 49464-1297
Phone
(616) 772-4641
Fax
(616) 772-4695
NPI assigned
Apr 28, 2025
Last updated
Oct 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

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

Addresses

Primary practice location

285 N State St
Zeeland, MI 49464-1297

Mailing address

285 N State St
Zeeland, MI 49464-1297
Phone (616) 772-4641

Other names 1

  • Medilodge of Zeeland Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251010001305 MI Part A Provider - Skilled Nursing Facility 5193222586 Practice locations: Zeeland, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710775085. Details of each certification follow.

Skilled nursing facility certification: CCN 235347

Legal name
ZEELAND OPCO LLC
Doing business as
MEDILODGE OF ZEELAND
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 1978
Last certification
Feb 27, 2025
Beds
138
Ownership / control type
Corporation
Multi-facility organization
Prestige Healthcare
Most recent change of ownership
Jul 1, 2025
Organization structure
LLCProprietary
Enrollment address
285 N State St
Zeeland, MI 49464-1297
Nursing home name
MEDILODGE OF ZEELAND
Affiliated entity
MEDILODGE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Medilodge of ZeelandCCN 235347 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 1, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
138119.1 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
23D0709427Zeeland Opco, LLC285 N State Street, Zeeland, MI 49464Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

285 N State St
Zeeland, MI 49464
Phone (616) 772-4641

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Zeeland Acquistion Group LLC Organization, Louisville, KY LLC, For-profit Adp of the SNF Jul 1, 2025
Fourinone Acquisition Group LLC Organization, Louisville, KY LLC, Holding company, For-profit Adp of the SNF Jul 1, 2025
Cody Healthcare S Corp Organization, Agoura Hills, CA Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2025 45.55%
Adp of the SNF Jul 1, 2025
B&Y Trust Organization, Brooklyn, NY For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2025 45.55%
Adp of the SNF Jul 1, 2025
Prestige Administrative Services, LLC Organization, Louisville, KY LLC, Consulting firm, For-profit Operational/Managerial Control Jul 1, 2025
Adp of the SNF Sep 2, 2025
Fourinone Operator LLC Organization, Louisville, KY Created for acquisition, LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 1, 2025 100%
Eliezer Mehler Individual Managing Control - Governing BodyLLC Member Jul 1, 2025
Robert L Norcross II Irrevocable Trust Organization, Palmyra, IN For-profit Indirect Ownership Interest Jul 1, 2025 4.85%
Craig a Flashner Individual 5% Or Greater Indirect Ownership InterestLLC Managing Member Jul 1, 2025 45.55%
Operational/Managerial Control Jul 1, 2025
Managing Control - Governing BodyLLC Managing Member Jul 1, 2025
Adp of the SNF Jul 1, 2025
Kristine Ranel Kirk Individual Operational/Managerial Control Jul 1, 2025
Hyper Care Management LLC Organization, Louisville, KY LLC, Management services company, For-profit, Chain home office Operational/Managerial Control Jul 1, 2025
Adp of the SNF Sep 2, 2025
Robert L Norcross Individual Managing Control - Governing BodyCeo / LLC Member Jul 1, 2025
Indirect Ownership Interest Jul 1, 2025 4.9%
Craig Flashner 2007 Trust Organization, Agoura Hills, CA For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2025 45.55%
Adp of the SNF Jul 1, 2025
Krystyna Barbara Solarewicz Individual Operational/Managerial Control Jul 1, 2025
Adp of the SNF Jul 1, 2025
Amber Campbell Individual Operational/Managerial Control Jul 1, 2025
Adp of the SNF Jul 1, 2025
B&Y Healthcare S Corp Organization, Brooklyn, NY Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2025 45.55%
Adp of the SNF Jul 1, 2025
Robert L Norcross II Family Limited Partnership Organization, Palmyra, IN For-profit, Owned by another organization or individual Indirect Ownership Interest Jul 1, 2025 4.9%
Stacey Paul Rogers Individual Managing Control - Governing BodyCfo / LLC Member Jul 1, 2025
Yitzchok a Perlstein Individual 5% Or Greater Indirect Ownership InterestLLC Member Jul 1, 2025 45.55%
Operational/Managerial Control Jul 1, 2025
Managing Control - Governing BodyLLC Member Jul 1, 2025
Adp of the SNF Jul 1, 2025
Babas 2013 LLC Organization, Palmyra, IN LLC, For-profit, Owned by another organization or individual Indirect Ownership Interest Jul 1, 2025 0.05%

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 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1745798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1710775085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 N STATE ST",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494641297",
            "telephone_number": "616-772-4641",
            "fax_number": "616-772-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 N STATE ST",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494641297",
            "telephone_number": "616-772-4641",
            "fax_number": "616-772-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZEELAND OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-28",
        "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 Zeeland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Zeeland, MI

Sources for this page

Verify at the official NPI Registry.