Active NPI
Optalis Whitehall Opco, LLC
- Skilled Nursing Facility
- Whitehall, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- OPTALIS WHITEHALL OPCO, LLC
- Practice address
- 916 E Lewis St
Whitehall, MI 49461-1699 - Phone
- (231) 894-4056
- Fax
- (231) 893-1106
- NPI assigned
- Apr 18, 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
- Tara Fekken
- Title
- Administrator
- Phone
- (231) 894-4056
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
916 E Lewis St
Whitehall, MI 49461-1699
Mailing address
916 E Lewis St
Whitehall, MI 49461-1699
Phone (231) 894-4056
Other names 1
- Optalis Health & Rehabilitation of Whitehall
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250801001483 | MI | Part A Provider - Skilled Nursing Facility | 8022526060 | Practice locations: Whitehall, MI |
Skilled nursing facility certification: CCN 235206
- Legal name
- OPTALIS WHITEHALL OPCO LLC
- Doing business as
- OPTALIS WHITEHALL OPCO LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Apr 8, 1971
- Last certification
- Dec 10, 2024
- Beds
- 125
- Ownership / control type
- Corporation
- Multi-facility organization
- Optalis Health
- Organization structure
- LLC
- Enrollment address
- 916 E Lewis St
Whitehall, MI 49461-1699 - Nursing home name
- OPTALIS HEALTH & REHABILITATION OF WHITEHALL
- Affiliated entity
- OPTALIS HEALTH & REHABILITATION
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Optalis Health & Rehabilitation of Whitehall
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Apr 8, 1971
- Medicare certification status
- Active
- Certified beds
- 125
- Chain
- Optalis Health & Rehabilitation
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 1
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 |
|---|---|---|---|
| 23D0379991 | Optalis Whitehall Opco, LLC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 19
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 |
|---|---|---|---|
| Pinal R. Patel 2017 Irrevocable Trust F/B/O Aarna R. Patel | 5% Or Greater Indirect Ownership Interest | Jul 1, 2025 | 25% |
| Om Holdco 7 LLC | 5% Or Greater Direct Ownership Interest | Jul 1, 2025 | 100% |
| Cliftonlarsonallen LLP | Adp of the SNF | Jul 1, 2025 | |
| Adp of the SNF | Jul 1, 2025 | ||
| Optum Management Solutions. Inc | Operational/Managerial Control | Jul 1, 2025 | |
| Adp of the SNF | Jul 1, 2025 | ||
| Lindsay Cooper | Operational/Managerial Control | Jul 1, 2025 | |
| Paar 108 LLC | 5% Or Greater Indirect Ownership Interest | Jul 1, 2025 | 100% |
| Krystyna Barbara Solarewicz | Operational/Managerial Control | Jul 1, 2025 | |
| Adp of the SNF | Sep 9, 2025 | ||
| 916 E Lewis St Propco LLC | Adp of the SNF | Jul 1, 2025 | |
| Rajan Patel | Corporate Officer | Jul 1, 2025 | |
| Managing Control - Governing Body | Jul 1, 2025 | ||
| Rajan G Patel 2020 Irr Fam TR Uad 12-3-2020 | 5% Or Greater Indirect Ownership Interest | Jul 1, 2025 | 25% |
| Kim S Vagnetti | Operational/Managerial Control | Jul 1, 2025 | |
| Adp of the SNF | Sep 9, 2025 | ||
| Adp of the SNF | Jul 1, 2025 | ||
| Marianne B Conner | Adp of the SNF | Jul 1, 2025 | |
| Schlaupitz Madhavan | Adp of the SNF | Jul 1, 2025 | |
| Adp of the SNF | Jul 1, 2025 | ||
| Pinal R. Patel 2020 Irrevocable Family Trust Uad 10-6-2020 | 5% Or Greater Indirect Ownership Interest | Jul 1, 2025 | 25% |
| Pinal R. Patel 2017 Irrevocable Trust F/B/O Ansh R. Patel | 5% Or Greater Indirect Ownership Interest | Jul 1, 2025 | 25% |
| Robert Sharon | Operational/Managerial Control | Jul 1, 2025 |
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 35
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Riverview, MI
- NPI 1336106905
Optum Management Solutions. Inc
-
- Skilled Nursing Facility
- Royal Oak, MI
- NPI 1528251071
Optum Management Solutions. Inc
-
- Skilled Nursing Facility
- Southfield, MI
- NPI 1003812181
Optum Management Solutions. Inc, Paar 108 LLC, Pinal R. Patel 2017 Irrevocable Trust F/B/O Aarna R. Patel, Pinal R. Patel 2017 Irrevocable Trust F/B/O Ansh R. Patel, Pinal R. Patel 2020 Irrevocable Family Trust Uad 10-6-2020, Rajan G Patel 2020 Irr F
-
- Skilled Nursing Facility
- Southfield, MI
- NPI 1538253687
Optum Management Solutions. Inc
-
- Skilled Nursing Facility
- Westland, MI
- NPI 1649275959
Optum Management Solutions. Inc
-
- Skilled Nursing Facility
- Allen Park, MI
- NPI 1700582384
Paar 108 LLC, Pinal R. Patel 2017 Irrevocable Trust F/B/O Aarna R. Patel, Pinal R. Patel 2017 Irrevocable Trust F/B/O Ansh R. Patel, Pinal R. Patel 2020 Irrevocable Family Trust Uad 10-6-2020, Rajan G Patel 2020 Irr Fam TR Uad 12-3-2020
-
- Skilled Nursing Facility
- Ann Arbor, MI
- NPI 1437855012
Paar 108 LLC, Pinal R. Patel 2017 Irrevocable Trust F/B/O Aarna R. Patel, Pinal R. Patel 2017 Irrevocable Trust F/B/O Ansh R. Patel, Pinal R. Patel 2020 Irrevocable Family Trust Uad 10-6-2020, Rajan G Patel 2020 Irr Fam TR Uad 12-3-2020
-
- Skilled Nursing Facility
- Grand Rapids, MI
- NPI 1215723853
Om Holdco 7 LLC, Paar 108 LLC, Pinal R. Patel 2017 Irrevocable Trust F/B/O Aarna R. Patel, Pinal R. Patel 2017 Irrevocable Trust F/B/O Ansh R. Patel, Pinal R. Patel 2020 Irrevocable Family Trust Uad 10-6-2020, Rajan G Patel 2020 Irr Fam TR Uad 12-3-2
-
- Skilled Nursing Facility
- Bloomfield Hills, MI
- NPI 1205622842
Om Holdco 7 LLC, Optum Management Solutions. Inc, Paar 108 LLC, Pinal R. Patel 2017 Irrevocable Trust F/B/O Aarna R. Patel, Pinal R. Patel 2017 Irrevocable Trust F/B/O Ansh R. Patel, Pinal R. Patel 2020 Irrevocable Family Trust Uad 10-6-2020, Rajan
-
- Skilled Nursing Facility
- Canton, MI
- NPI 1780380360
Optum Management Solutions. Inc, Paar 108 LLC, Pinal R. Patel 2017 Irrevocable Trust F/B/O Aarna R. Patel, Pinal R. Patel 2017 Irrevocable Trust F/B/O Ansh R. Patel, Pinal R. Patel 2020 Irrevocable Family Trust Uad 10-6-2020, Rajan G Patel 2020 Irr F
-
- Skilled Nursing Facility
- Dearborn Heights, MI
- NPI 1598461170
Paar 108 LLC, Pinal R. Patel 2017 Irrevocable Trust F/B/O Aarna R. Patel, Pinal R. Patel 2017 Irrevocable Trust F/B/O Ansh R. Patel, Pinal R. Patel 2020 Irrevocable Family Trust Uad 10-6-2020, Rajan G Patel 2020 Irr Fam TR Uad 12-3-2020
-
- Skilled Nursing Facility
- Grand Rapids, MI
- NPI 1043050081
Optum Management Solutions. Inc, Paar 108 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.
-
- 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": "1744934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781827200000",
"number": "1750177291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "916 E LEWIS ST",
"city": "WHITEHALL",
"state": "MI",
"postal_code": "494611699",
"telephone_number": "231-894-4056",
"fax_number": "231-893-1106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 E LEWIS ST",
"city": "WHITEHALL",
"state": "MI",
"postal_code": "494611699",
"telephone_number": "231-894-4056",
"fax_number": "231-893-1106"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTALIS WHITEHALL OPCO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-18",
"last_updated": "2026-06-19",
"certification_date": "2026-06-19",
"status": "A",
"authorized_official_last_name": "FEKKEN",
"authorized_official_first_name": "TARA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "231-894-4056"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Optalis Health & Rehabilitation of Whitehall",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Whitehall, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; 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.