Wyoming Opco, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WYOMING OPCO, LLC

Doing business as

Medilodge of Wyoming

Practice address

2786 56TH St SW
Wyoming, MI 49418-8708

Phone

(616) 261-3960

Fax

(616) 261-3925

NPI assigned

Dec 4, 2014

Last updated

Jul 17, 2015By 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

Mr. Stacey Paul Rogers

Title

Chief Financial Officer

Phone

(502) 429-8062

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Medilodge of Wyoming 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 1831596907. Details of each certification follow.

• CCN 235630 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 235630

Legal name

WYOMING OPCO LLC

Doing business as

MEDILODGE OF WYOMING

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Jun 26, 2007

Last certification

Aug 22, 2024

Beds

80

Ownership / control type

Corporation

Multi-facility organization

Medilodge

Organization structure

LLCProprietary

Incorporated

Nov 14, 2014 in DE

Enrollment address

2786 56TH St SW
Wyoming, MI 49418-8708

Nursing home name

MEDILODGE OF WYOMING

Affiliated entity

MEDILODGE

Listed as

Medilodge of WyomingCCN 235630 · All quality measures

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

4 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jun 26, 2007

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8075.8 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 12

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

  Ark Opco Group, LLC, B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Noble Healthcare Management, LLC, Prestige Administrative Services, LLC

  CMS ownership
• Cass City Opco LLC

  dba Medilodge of Cass City

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

  Ark Opco Group, LLC, 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

  Ark Opco Group, LLC, B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Noble Healthcare Management, LLC, 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, 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, Cody Healthcare S Corp, Craig Flashner 2007 Trust

  CMS ownership
• Frankenmuth Opco, LLC

  dba Medilodge of Frankenmuth

  • Skilled Nursing Facility
  • Frankenmuth, MI
  • NPI 1427455641

  Ark Opco Group, LLC, B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Noble Healthcare Management, LLC, 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 Haven Opco LLC

  dba Medilodge at the Shore

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

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

  CMS ownership

Practitioners 1

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.

• Piyush Bhatnagar, M.D.

  • Internal Medicine Physician
  • Grand Rapids, MI
  • NPI 1811961907
  NPD (past)

Affiliated clinicians 1

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

• Piyush Bhatnagar, M.D.

  • Internal Medicine Physician
  • Grand Rapids, MI
  • NPI 1811961907

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1831596907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 NEW LA GRANGE RD",
            "address_2": "SUITE 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": "2786 56TH ST SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "494188708",
            "telephone_number": "616-261-3960",
            "fax_number": "616-261-3925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-04",
        "last_updated": "2015-07-17",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831596907",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medilodge of Wyoming",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jada Riley Wynne
• Wyoming Dental Associates
• Wyoming Family Medicine PC
• Wyoming Family Vision Care LLC (Wyoming Family Vision Care)
• Wyoming Family Vision Care PLLC
• Wyoming Park Pharmacy (Wyoming Park Compounding Pharmacy)
• Justin Isaac Yakim, DO
• Ben Yan, M.D.
• Ashley Kate Yancho, LMSW, CAADC, MPA
• Winston W Yen, DO

• Skilled Nursing Facility in Wyoming, MI
• Providers in Wyoming, 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 Jul 17, 2015; 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.