Active NPI
Zeeland Opco LLC
Doing business as Medilodge of Zeeland
- Skilled Nursing Facility
- Zeeland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Zeeland
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jun 1, 1978
- Medicare certification status
- Active
- Certified beds
- 138
- Chain
- Medilodge
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D0709427 | Zeeland Opco, LLC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Zeeland Acquistion Group LLC | Adp of the SNF | Jul 1, 2025 | |
| Fourinone Acquisition Group LLC | Adp of the SNF | Jul 1, 2025 | |
| Cody Healthcare S Corp | 5% Or Greater Indirect Ownership Interest | Jul 1, 2025 | 45.55% |
| Adp of the SNF | Jul 1, 2025 | ||
| B&Y Trust | 5% Or Greater Indirect Ownership Interest | Jul 1, 2025 | 45.55% |
| Adp of the SNF | Jul 1, 2025 | ||
| Prestige Administrative Services, LLC | Operational/Managerial Control | Jul 1, 2025 | |
| Adp of the SNF | Sep 2, 2025 | ||
| Fourinone Operator LLC | 5% Or Greater Direct Ownership Interest | Jul 1, 2025 | 100% |
| Eliezer Mehler | Managing Control - Governing Body | Jul 1, 2025 | |
| Robert L Norcross II Irrevocable Trust | Indirect Ownership Interest | Jul 1, 2025 | 4.85% |
| Craig a Flashner | 5% Or Greater Indirect Ownership Interest | Jul 1, 2025 | 45.55% |
| Operational/Managerial Control | Jul 1, 2025 | ||
| Managing Control - Governing Body | Jul 1, 2025 | ||
| Adp of the SNF | Jul 1, 2025 | ||
| Kristine Ranel Kirk | Operational/Managerial Control | Jul 1, 2025 | |
| Hyper Care Management LLC | Operational/Managerial Control | Jul 1, 2025 | |
| Adp of the SNF | Sep 2, 2025 | ||
| Robert L Norcross | Managing Control - Governing Body | Jul 1, 2025 | |
| Indirect Ownership Interest | Jul 1, 2025 | 4.9% | |
| Craig Flashner 2007 Trust | 5% Or Greater Indirect Ownership Interest | Jul 1, 2025 | 45.55% |
| Adp of the SNF | Jul 1, 2025 | ||
| Krystyna Barbara Solarewicz | Operational/Managerial Control | Jul 1, 2025 | |
| Adp of the SNF | Jul 1, 2025 | ||
| Amber Campbell | Operational/Managerial Control | Jul 1, 2025 | |
| Adp of the SNF | Jul 1, 2025 | ||
| B&Y Healthcare S Corp | 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 | Indirect Ownership Interest | Jul 1, 2025 | 4.9% |
| Stacey Paul Rogers | Managing Control - Governing Body | Jul 1, 2025 | |
| Yitzchok a Perlstein | 5% Or Greater Indirect Ownership Interest | Jul 1, 2025 | 45.55% |
| Operational/Managerial Control | Jul 1, 2025 | ||
| Managing Control - Governing Body | Jul 1, 2025 | ||
| Adp of the SNF | Jul 1, 2025 | ||
| Babas 2013 LLC | 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.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1134149727
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 77
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
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.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1134149727
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
- Zeeland Community Hospital (Zeeland Community Hospital Urgent Care)
- Zeeland Community Hospital (Corewell Health Zeeland Hospital)
- Zeeland Community Hospital (Corewell Health Zeeland Hospital Professional)
- Zeeland Family Chiropractic Center, P.C.
- Zeeland Family Medicine, PC (Zeealnd Family Medicine, PC)
- Zeeland Skilled Nursing Facility Inc (SKLD Zeeland)
- Zeeland Vision Services PC
- Christine Ann Zeerip, OTR/L
- Kelli Zeerip
- William Wade Zeilenga, LPC
Sources for this page
- 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.