Livonia Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LIVONIA OPCO LLC

Doing business as

Medilodge of Livonia

Practice address

29270 Morlock St
Livonia, MI 48152-2044

Phone

(248) 475-0555

Fax

(248) 477-5391

NPI assigned

Apr 25, 2025

Last updated

Oct 23, 2025By 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 names 1

• Medilodge of Livonia 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 1932997590. Details of each certification follow.

• CCN 235365 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 235365

Legal name

LIVONIA OPCO LLC

Doing business as

MEDILODGE OF LIVONIA

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1979

Last certification

Jan 15, 2025

Beds

110

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Enrollment address

29270 Morlock St
Livonia, MI 48152-2044

Nursing home name

MEDILODGE OF LIVONIA

Affiliated entity

MEDILODGE

Listed as

Medilodge of LivoniaCCN 235365 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

3 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jan 1, 1979

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

11093.8 residents per day on average

Chain

Medilodge53 facilities in the chain

Penalties (3 years)

1Fines totaling $45,429

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 19

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• David Allen Crowl Jr., DO

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1205044252

  Adp of the SNF

  CMS 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

  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, 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

  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, 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 4

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.

• Ali Alsaadi, M.D.

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1912941477
  NPD (past)
• Hassan A. Bazzi, D.O.

  • Internal Medicine Physician
  • Troy, MI
  • NPI 1457507006
  NPD (past)
• David Allen Crowl Jr., DO

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1205044252
  NPD (past)
• Mohammad Saleh, M.D.

  • Internal Medicine Physician
  • Walled Lake, MI
  • NPI 1619394004
  NPD (past)

Affiliated clinicians 2

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

• Ali Alsaadi, M.D.

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1912941477

  Nursing home

  Care Compare affiliation
• David Allen Crowl Jr., DO

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1205044252

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1745539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1932997590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29270 MORLOCK ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522044",
            "telephone_number": "248-476-0555",
            "fax_number": "248-477-5391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29270 MORLOCK ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522044",
            "telephone_number": "248-475-0555",
            "fax_number": "248-477-5391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVONIA OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-25",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medilodge of Livonia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Livonia Homecare LLC
• Livonia Internal Medicine Associates PC
• Livonia Laser Dentistry
• Livonia Life Center Corp
• Livonia Medical Center, P.C.
• Livonia Ophthalmologists PC
• Livonia Outpatient Surgery Center, LLC
• Livonia Palliative Care P.L.L.C.
• Livonia Pharmacy LLC (livonia pharmacy)
• Livonia Public Schools School District

• Skilled Nursing Facility in Livonia, MI
• Providers in Livonia, 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 Oct 23, 2025; 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.