Organization Active NPI

Gallipolis Opco, LLC

  • Skilled Nursing Facility
  • Gallipolis, OH
National Provider Identifier
1881082006
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GALLIPOLIS OPCO, LLC
Practice address
170 Pinecrest Dr
Gallipolis, OH 45631-1347
Phone
(740) 446-7112
Fax
(740) 446-9088
NPI assigned
Dec 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

170 Pinecrest Dr
Gallipolis, OH 45631-1347

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1881082006MedicaidMI

Other names 1

  • Arbors at Gallipolis Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150811005780 OH Part A Provider - Skilled Nursing Facility 5294040812 Practice locations: Gallipolis, OH

Skilled nursing facility certification: CCN 365348

Legal name
GALLIPOLIS OPCO LLC
Doing business as
ARBORS AT GALLIPOLIS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 1, 1978
Last certification
Apr 21, 2025
Beds
99
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Prestige Healthcare
Most recent change of ownership
Jul 1, 2015
Organization structure
LLCProprietary
Incorporated
Nov 19, 2014 in DE
Enrollment address
170 Pinecrest Dr
Gallipolis, OH 45631-1347
Nursing home name
ARBORS AT GALLIPOLIS
Affiliated entity
ARBORS AT OHIO

Care Compare: Nursing home

Medicare Care Compare
Listed as
Arbors at GallipolisCCN 365348
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 - Limited Liability company
Certified
May 1, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9983.6 residents per day on average
Chain
Arbors at Ohio16 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)

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
36D0350725Gallipolis Opco LLC170 Pinecrest Dr, Gallipolis, OH 45631Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Arbors at Gallipolis2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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
Ark Opco Group, LLC Organization, Louisville, KY LLC, For-profit 5% Or Greater Direct Ownership Interest Jul 1, 2015 100%
Cody Healthcare S Corp Organization, Agoura Hills, CA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2015 47.55%
B&Y Trust Organization, Brooklyn, NY 5% Or Greater Indirect Ownership Interest Jul 1, 2015 47.55%
Prestige Administrative Services, LLC Organization, Louisville, KY LLC, Consulting firm, For-profit Operational/Managerial Control Jan 1, 2016
Craig a Flashner Individual Corporate DirectorLLC Member Jul 1, 2015
Operational/Managerial ControlLLC Member / Governing Body Jul 1, 2015
Kristine Ranel Kirk Individual W-2 Managing EmployeeBusiness Manager Sep 1, 2016
Robert L Norcross Individual Contracted Managing EmployeeCfo Jul 1, 2015
Craig Flashner 2007 Trust Organization, Agoura Hills, CA 5% Or Greater Indirect Ownership Interest Jul 1, 2015 47.55%
B&Y Healthcare S Corp Organization, Brooklyn, NY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2015 47.55%
Stacey Paul Rogers Individual Contracted Managing EmployeeCfo Jul 1, 2015
Noble Healthcare Management, LLC Organization, Washington, MI LLC, Management services company, For-profit Operational/Managerial Control Jul 1, 2015
Yitzchok a Perlstein Individual Corporate DirectorLLC Member Jul 1, 2015
Operational/Managerial ControlLLC Member / Governing Body Jul 1, 2015

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": "1419292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1881082006",
    "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": "170 PINECREST DR",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456311347",
            "telephone_number": "740-446-7112",
            "fax_number": "740-446-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLIPOLIS OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-23",
        "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": "1881082006",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arbors at Gallipolis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gallipolis, OH

Sources for this page

Verify at the official NPI Registry.