Organization Active NPI

Sault Ste. Marie Opco, LLC

  • Skilled Nursing Facility
  • Sault Sainte Marie, MI
National Provider Identifier
1801313135
Registry record updated Aug 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SAULT STE. MARIE OPCO, LLC
Practice address
1011 Meridian St
Sault Sainte Marie, MI 49783-2650
Phone
(906) 635-1518
NPI assigned
Aug 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2017

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

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1011 Meridian St
Sault Sainte Marie, MI 49783-2650

Mailing address

7400 New la Grange Rd Ste 100
Louisville, KY 40222-4870
Phone (502) 429-8062

Other names 1

  • Medilodge of Sault Ste. Marie Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180214000027 MI Part A Provider - Skilled Nursing Facility 8921368846 Practice locations: Sault Sainte Marie, MI

Skilled nursing facility certification: CCN 235292

Legal name
SAULT STE MARIE OPCO LLC
Doing business as
MEDILODGE OF SAULT STE MARIE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 1, 1976
Last certification
Jan 9, 2025
Beds
106
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Medilodge
Organization structure
LLCProprietary
Incorporated
Jul 25, 2017 in DE
Enrollment address
1011 Meridian St
Sault Sainte Marie, MI 49783-2650
Nursing home name
MEDILODGE OF SAULT STE. MARIE
Affiliated entity
MEDILODGE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Medilodge of Sault Ste. MarieCCN 235292
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Nov 1, 1976
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10680.0 residents per day on average
Chain
Medilodge53 facilities in the chain
Special focus status
SFF Candidate
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
4Fines totaling $65,403

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
23D0696891Sault Ste Marie Opco, LLC1011 Meridian Street, Sault Sainte Marie, MI 49783Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Cody Healthcare S Corp Organization, Agoura Hills, CA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2018 47.55%
B&Y Trust Organization, Brooklyn, NY 5% Or Greater Indirect Ownership Interest Feb 1, 2018 47.55%
Prestige Administrative Services, LLC Organization, Louisville, KY LLC, Consulting firm, For-profit Operational/Managerial Control Feb 1, 2018
Blossom Healthcare Management LLC Organization, Louisville, KY LLC, Management services company, For-profit Operational/Managerial Control Feb 1, 2018
Craig a Flashner Individual Corporate DirectorLLC Member / Governing Body Feb 1, 2018
Operational/Managerial ControlLLC Member / Governing Body Feb 1, 2018
Kristine Ranel Kirk Individual W-2 Managing EmployeeBusiness Manager Feb 1, 2018
Robert L Norcross Individual Contracted Managing EmployeeCeo Feb 1, 2018
Craig Flashner 2007 Trust Organization, Agoura Hills, CA 5% Or Greater Indirect Ownership Interest Feb 1, 2018 47.55%
B&Y Healthcare S Corp Organization, Brooklyn, NY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2018 47.55%
Stacey Paul Rogers Individual Contracted Managing EmployeeCfo Feb 1, 2018
Yitzchok a Perlstein Individual Corporate DirectorLLC Member / Governing Body Feb 1, 2018
Operational/Managerial ControlLLC Member / Governing Body Feb 1, 2018
Everest Opco Group LLC Organization, Louisville, KY Created for acquisition, LLC, For-profit 5% Or Greater Direct Ownership Interest Feb 1, 2018 100%

Facilities with the same owner 77

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

View all 77

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503878400000",
    "number": "1801313135",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 MERIDIAN ST",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497832650",
            "telephone_number": "906-635-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAULT STE. MARIE OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-28",
        "last_updated": "2017-08-28",
        "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 Sault Ste. Marie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sault Sainte Marie, MI

Sources for this page

Verify at the official NPI Registry.