Shoreline Opco, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SHORELINE OPCO, LLC

Practice address

14900 Shoreline Dr
Sterling Heights, MI 48313-2251

Phone

(586) 247-4700

Fax

(586) 247-1499

NPI assigned

Dec 21, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Stacey Paul Rogers

Title

Chief Financial Officer

Phone

(502) 429-8062

Specialties & licenses 1

Addresses

Other names 1

• Medilodge of Shoreline Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Skilled nursing facility certification: CCN 235473

Legal name

SHORELINE OPCO, LLC

Doing business as

MEDILODGE OF SHORELINE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 24, 1988

Last certification

Oct 17, 2024

Beds

112

Ownership / control type

Corporation

Multi-facility organization

Medilodge Group

Organization structure

LLCProprietary

Incorporated

Sep 6, 2017 in DE

Enrollment address

14900 Shoreline Dr
Sterling Heights, MI 48313-2251

Nursing home name

MEDILODGE OF SHORELINE

Affiliated entity

MEDILODGE

Listed as

Medilodge of ShorelineCCN 235473

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jun 24, 1988

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

112104.0 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

All disclosed owners & managing parties 10

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

  • Skilled Nursing Facility
  • Alpena, MI
  • NPI 1891211264

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

  CMS ownership
• Capital Area Opco LLC

  • Skilled Nursing Facility
  • Lansing, MI
  • NPI 1528465739

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

  CMS ownership
• Cass City Opco LLC

  • Skilled Nursing Facility
  • Cass City, MI
  • NPI 1316344526

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

  CMS ownership
• Cheboygan Opco LLC

  • Skilled Nursing Facility
  • Cheboygan, MI
  • NPI 1295251676

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

  CMS ownership
• Clare Opco LLC

  • Skilled Nursing Facility
  • Clare, MI
  • NPI 1659778868

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

  CMS ownership
• East Lansing Opco LLC

  • 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

  CMS ownership
• Farmington Opco LLC

  • 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

  • Skilled Nursing Facility
  • Frankenmuth, MI
  • NPI 1427455641

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

  CMS ownership
• Gaylord Opco, LLC

  • Skilled Nursing Facility
  • Gaylord, MI
  • NPI 1215453691

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

  CMS ownership
• Grand Blanc Opco LLC

  • Skilled Nursing Facility
  • Grand Blanc, MI
  • NPI 1790180255

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

  CMS ownership
• Grand Haven Opco LLC

  • Skilled Nursing Facility
  • Grand Haven, MI
  • NPI 1770078263

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

  CMS ownership
• Grand Rapids Opco, LLC

  • 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

  CMS ownership

Practitioners 2

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

• Mohammadreza Kahnamouei, MD

  • Adult Medicine Physician
  • Clinton Township, MI
  • NPI 1467651026
  NPD (past)
• Salvador Rojas III, M.D.

  • Hospitalist Physician
  • Shelby Township, MI
  • NPI 1275709446
  NPD (past)

Affiliated clinicians 2

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

• Mohammadreza Kahnamouei, MD

  • Adult Medicine Physician
  • Clinton Township, MI
  • NPI 1467651026

  Nursing home

  Care Compare affiliation
• Salvador Rojas III, M.D.

  • Hospitalist Physician
  • Shelby Township, MI
  • NPI 1275709446

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518480000000",
    "number": "1801302187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 NEW LA GRANGE RD STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224870",
            "telephone_number": "502-429-8062",
            "fax_number": "502-429-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14900 SHORELINE DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483132251",
            "telephone_number": "586-247-4700",
            "fax_number": "586-247-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-21",
        "last_updated": "2018-02-13",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "502-429-8062",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medilodge of Shoreline",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Yousuf A. Siddiqui, M.D.

• Skilled Nursing Facility in Sterling Heights, MI
• Providers in Sterling Heights, 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 Feb 13, 2018; 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.