Grand Haven Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GRAND HAVEN OPCO LLC

Doing business as

Medilodge at the Shore

Practice address

900 S Beacon Blvd
Grand Haven, MI 49417

Phone

(616) 846-1850

NPI assigned

Jun 27, 2018

Last updated

May 28, 2026By the provider in NPPES

Organization subpart

No

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

Addresses

Other names 1

• Medilodge at the Shore Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770078263. Details of each certification follow.

• CCN 235356 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 235356

Legal name

GRAND HAVEN OPCO, LLC

Doing business as

MEDILODGE AT THE SHORE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1980

Last certification

Sep 18, 2024

Beds

126

Ownership / control type

Corporation

Multi-facility organization

Prestige/Medilodge Healthcare

Organization structure

LLCProprietary

Incorporated

Jul 10, 2018 in DE

Enrollment address

900 S Beacon Blvd
Grand Haven, MI 49417-2146

Nursing home name

MEDILODGE AT THE SHORE

Affiliated entity

MEDILODGE

Listed as

Medilodge at the ShoreCCN 235356 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

4 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jan 1, 1980

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

126112.9 residents per day on average

Chain

Medilodge53 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 11

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

Facilities with the same owner 77

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

• Alpena Opco LLC

  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

  CMS ownership
• Capital Area Opco 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

  CMS ownership
• Cass City Opco 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

  CMS ownership
• Cheboygan Opco 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

  CMS ownership
• Clare Opco 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

  CMS ownership
• East Lansing Opco LLC

  dba Medilodge of Campus Area

  • Skilled Nursing Facility
  • East Lansing, MI
  • NPI 1730546250

  B&Y Healthcare S Corp, B&Y Trust, Century Healthcare Management LLC, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Prestige Administrative Services, LLC

  CMS ownership
• Farmington Opco LLC

  dba Medilodge of Farmington

  • Skilled Nursing Facility
  • Farmington, MI
  • NPI 1629442215

  B&Y Healthcare S Corp, B&Y Trust, Century Healthcare Management LLC, Cody Healthcare S Corp, Craig Flashner 2007 Trust

  CMS ownership
• Frankenmuth Opco, LLC

  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

  CMS ownership
• Gaylord Opco, 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

  CMS ownership
• Grand Blanc Opco 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

  CMS ownership
• Grand Rapids Opco, LLC

  dba Medilodge of Grand Rapids

  • Skilled Nursing Facility
  • Grand Rapids, MI
  • NPI 1083347660

  B&Y Healthcare S Corp, B&Y Trust, Century Healthcare Management LLC, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Prestige Administrative Services, LLC

  CMS ownership
• Green View Opco, LLC

  dba Medilodge of Green View

  • Skilled Nursing Facility
  • Alpena, MI
  • NPI 1164948444

  B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Prestige Administrative Services, LLC

  CMS ownership

Practitioners 7

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.

• Frederick L Bean, M.D.

  • Family Medicine Physician
  • Olivet, MI
  • NPI 1023085693
  NPD (past)
• Robert Kenneth Brummeler, M.D.

  • Family Medicine Physician
  • Brighton, MI
  • NPI 1831205806
  NPD (past)
• Antoinette Marie Hildwein, D.O.

  • Family Medicine Physician
  • Norton Shores, MI
  • NPI 1710957790
  NPD (past)
• Robert N Israel, M.D.

  • Family Medicine Physician
  • Jackson, MI
  • NPI 1083688261
  NPD (past)
• Raymond P Rabideau, D.O.

  • Family Medicine Physician
  • Grand Haven, MI
  • NPI 1356345698
  NPD (past)
• Ronald E Seagle, M.D.

  • Family Medicine Physician
  • Watervliet, MI
  • NPI 1699744953
  NPD (past)
• Matthew Cesar Slendebroek, M.D.

  • Family Medicine Physician
  • Wyoming, MI
  • NPI 1942445945
  NPD (past)

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Robert Kenneth Brummeler, M.D.

  • Family Medicine Physician
  • Brighton, MI
  • NPI 1831205806

  Nursing home

  Care Compare affiliation
• Antoinette Marie Hildwein, D.O.

  • Family Medicine Physician
  • Norton Shores, MI
  • NPI 1710957790

  Nursing home

  Care Compare affiliation
• Robert N Israel, M.D.

  • Family Medicine Physician
  • Jackson, MI
  • NPI 1083688261

  Nursing home

  Care Compare affiliation
• Ronald E Seagle, M.D.

  • Family Medicine Physician
  • Watervliet, MI
  • NPI 1699744953

  Nursing home

  Care Compare affiliation
• Matthew Cesar Slendebroek, M.D.

  • Family Medicine Physician
  • Wyoming, MI
  • NPI 1942445945

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1770078263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 NEW LA GRANGE RD STE 400",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224870",
            "telephone_number": "502-429-8062",
            "fax_number": "866-360-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S BEACON BLVD",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "49417",
            "telephone_number": "616-846-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND HAVEN OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medilodge at the Shore",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Autumn Gorman
• Austin Graham
• Grand Haven Bone & Joint, P.C.
• Grand Haven Counseling LLC
• Grand Haven Eyecare, PLLC
• Grand Haven Pathology, PC
• Grand Haven Smiles PLC
• Grand Haven Speech Partners, LLC
• Grand Pines Assisted Living Center
• Emily Gray

• Skilled Nursing Facility in Grand Haven, MI
• Providers in Grand Haven, MI by specialty
• Skilled Nursing Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.

Verify at the official NPI Registry.