Organization Active NPI

Milford Opco LLC

  • Skilled Nursing Facility
  • Milford, MI
National Provider Identifier
1972944981
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MILFORD OPCO LLC
Practice address
555 Highland Ave
Milford, MI 48381-1517
Phone
(248) 685-1460
Fax
(248) 685-1564
NPI assigned
Jul 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

555 Highland Ave
Milford, MI 48381-1517

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1972944981MedicaidMI

Other names 1

  • MEDILODGE OF MILFORD Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130826000246 MI Part A Provider - Skilled Nursing Facility 7315180247 Practice locations: Milford, MI

Skilled nursing facility certification: CCN 235650

Legal name
MILFORD OPCO LLC
Doing business as
MEDILODGE OF MILFORD
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 27, 2010
Last certification
Aug 14, 2024
Beds
111
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Prestige
Organization structure
LLCProprietary
Incorporated
Jun 13, 2013 in DE
Enrollment address
555 Highland Ave
Milford, MI 48381-1517
Nursing home name
MEDILODGE OF MILFORD
Affiliated entity
MEDILODGE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Medilodge of MilfordCCN 235650 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 27, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
111105.4 residents per day on average
Chain
Medilodge53 facilities in the chain

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
23D1099071Milford Opco, LLC555 Highland Avenue, Milford, MI 48381Certificate of waiverMay 4, 2027

National Provider Directory

National Provider Directory
Tax ID family
Medilodge of Milford2 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
Fifteeninone Opco Group LLC Organization, Westlake Village, CA For-profit 5% Or Greater Direct Ownership Interest Jun 24, 2013 100%
Cody Healthcare S Corp Organization, Westlake Village, CA For-profit 5% Or Greater Indirect Ownership Interest Jun 24, 2013 47.55%
B&Y Trust Organization, Brooklyn, NY 5% Or Greater Indirect Ownership Interest Jun 24, 2013 47.55%
Prestige Administrative Services, LLC Organization, Louisville, KY For-profit Operational/Managerial Control Jan 1, 2016
Craig a Flashner Individual Operational/Managerial ControlLLC Manager Governing Body Jun 24, 2013
Kristine Ranel Kirk Individual W-2 Managing EmployeeDelegated Official Nov 1, 2013
Robert L Norcross Individual Contracted Managing EmployeeChief Executive Officer Jun 24, 2013
Craig Flashner 2007 Trust Organization, Westlake Village, CA 5% Or Greater Indirect Ownership Interest Jun 24, 2013 47.55%
B&Y Healthcare S Corp Organization, Brooklyn, NY For-profit 5% Or Greater Indirect Ownership Interest Jun 24, 2013 47.55%
Generations Healthcare Management LLC Organization, Louisville, KY For-profit Operational/Managerial Control Jun 24, 2013
Stacey Paul Rogers Individual Contracted Managing EmployeeCfo Oct 20, 2014
Yitzchok a Perlstein Individual Operational/Managerial ControlLLC Manager Governing Body Jun 24, 2013

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 2

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

Affiliated clinicians 3

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": "1373241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1972944981",
    "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": "555 HIGHLAND AVE",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483811517",
            "telephone_number": "248-685-1460",
            "fax_number": "248-685-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILFORD OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-08",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "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": "1972944981",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDILODGE OF MILFORD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milford, MI

Sources for this page

Verify at the official NPI Registry.