Alpena Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ALPENA OPCO LLC

Doing business as

Medilodge of Alpena

Practice address

301 Long Rapids Rd
Alpena, MI 49707-1317

Phone

(989) 356-2194

NPI assigned

Aug 17, 2017

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 identifiers 1

Other names 1

• Medilodge of Alpena 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 1891211264. Details of each certification follow.

• CCN 235280 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 235280

Legal name

ALPENA OPCO LLC

Doing business as

MEDILODGE OF ALPENA

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

May 1, 1976

Last certification

Aug 1, 2024

Beds

132

Ownership / control type

Individual

Organization structure

LLCProprietary

Incorporated

Jul 25, 2017 in DE

Enrollment address

301 Long Rapids Rd
Alpena, MI 49707-1317

Nursing home name

MEDILODGE OF ALPENA

Affiliated entity

MEDILODGE

Listed as

Medilodge of AlpenaCCN 235280 · All quality measures

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Individual

Certified

May 1, 1976

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

132119.9 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

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.

• 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, Blossom Healthcare Management LLC, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Everest Opco Group LLC, 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, 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

  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, Blossom Healthcare Management LLC, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Everest Opco Group LLC, 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
• Green View Opco, LLC

  dba Medilodge of Green View

  • Skilled Nursing Facility
  • Alpena, MI
  • NPI 1164948444

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

  CMS ownership

Practitioners 2

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.

• David Dennis Dargis, D.O.

  • Family Medicine Physician
  • Alpena, MI
  • NPI 1457490609
  NPD (past)
• Raj Rao, M.D

  • General Practice Physician
  • Harrisville, MI
  • NPI 1144526252
  NPD (past)

Affiliated clinicians 2

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

• David Dennis Dargis, D.O.

  • Family Medicine Physician
  • Alpena, MI
  • NPI 1457490609

  Nursing home

  Care Compare affiliation
• Raj Rao, M.D

  • General Practice Physician
  • Harrisville, MI
  • NPI 1144526252

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1891211264",
    "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": "301 LONG RAPIDS RD",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071317",
            "telephone_number": "989-356-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPENA OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891211264",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medilodge of Alpena",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medilodge of Alpena",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alpena Health Multispecialty Clinic (Alpena Medical Clinic)
• Alpena Medical Arts PC
• Alpena Medical Arts, P.C.
• Alpena Medical Arts, PC
• Alpena OB-GYN PC (Womens Health Center of Alpena)
• Alpena Orthopaedic Associates PLLC
• Alpena Radiology PC
• Alpena Redicare Walk-in Clinic, PLLC
• Alpena Regional Medical Center-BHS
• Alpena Surgical Associates, P.L.L.C.

• Skilled Nursing Facility in Alpena, MI
• Providers in Alpena, 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.