Organization Active NPI

Optalis Whitehall Opco, LLC

  • Skilled Nursing Facility
  • Whitehall, MI
National Provider Identifier
1750177291
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Jun 19, 2026

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 WhitehallCCN 235206
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 8, 1971
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12579.5 residents per day on average
Chain
Optalis Health & Rehabilitation36 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
1Fines totaling $0

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
23D0379991Optalis Whitehall Opco, LLC916 E Lewis Street, Whitehall, MI 49461Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Pinal R. Patel 2017 Irrevocable Trust F/B/O Aarna R. Patel Organization, Northville, MI 5% Or Greater Indirect Ownership Interest Jul 1, 2025 25%
Om Holdco 7 LLC Organization, Novi, MI LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 1, 2025 100%
Cliftonlarsonallen LLP Organization, Maumee, OH Consulting firm Adp of the SNF Jul 1, 2025
Organization, Toledo, OH Corporation Adp of the SNF Jul 1, 2025
Optum Management Solutions. Inc Organization, Novi, MI Corporation, Management services company Operational/Managerial Control Jul 1, 2025
Adp of the SNF Jul 1, 2025
Lindsay Cooper Individual Operational/Managerial Control Jul 1, 2025
Paar 108 LLC Organization, Northville, MI LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2025 100%
Krystyna Barbara Solarewicz Individual Operational/Managerial Control Jul 1, 2025
Adp of the SNF Sep 9, 2025
916 E Lewis St Propco LLC Organization, Toledo, OH LLC Adp of the SNF Jul 1, 2025
Rajan Patel Individual Corporate OfficerCeo Jul 1, 2025
Managing Control - Governing BodyCeo Jul 1, 2025
Rajan G Patel 2020 Irr Fam TR Uad 12-3-2020 Organization, Northville, MI 5% Or Greater Indirect Ownership Interest Jul 1, 2025 25%
Kim S Vagnetti Individual Operational/Managerial Control Jul 1, 2025
Adp of the SNF Sep 9, 2025
Organization, Toledo, OH LLC, Holding company Adp of the SNF Jul 1, 2025
Marianne B Conner Individual Adp of the SNF Jul 1, 2025
Schlaupitz Madhavan Organization, Troy, MI Corporation Adp of the SNF Jul 1, 2025
Organization, Toledo, OH LLC, Holding company Adp of the SNF Jul 1, 2025
Pinal R. Patel 2020 Irrevocable Family Trust Uad 10-6-2020 Organization, Northville, MI 5% Or Greater Indirect Ownership Interest Jul 1, 2025 25%
Pinal R. Patel 2017 Irrevocable Trust F/B/O Ansh R. Patel Organization, Northville, MI 5% Or Greater Indirect Ownership Interest Jul 1, 2025 25%
Robert Sharon Individual 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.

Facilities with the same owner 35

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 35

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

Verify at the official NPI Registry.