Medilodge of Plymouth, Inc.
NPI 1003887662 · Skilled Nursing Facility · Plymouth, MI
Medilodge of Plymouth, Inc. is a Skilled Nursing Facility organization in Plymouth, MI (NPI 1003887662).
Provider details
- NPI number
- 1003887662
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Kathleen Denean, Chief Executive Officer(586) 752-5008
- License
- 824320 (MI)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-01-31
- Last updated
- 2009-07-16
Frequently asked questions
- What is Medilodge of Plymouth, Inc.'s NPI number?
- Medilodge of Plymouth, Inc.'s National Provider Identifier (NPI) is 1003887662, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medilodge of Plymouth, Inc.?
- Medilodge of Plymouth, Inc. is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Medilodge of Plymouth, Inc. located?
- Medilodge of Plymouth, Inc.'s practice location on file with NPPES is 395 W Ann Arbor Trl, Plymouth, MI 48170-1641.
- What is Medilodge of Plymouth, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Medilodge of Plymouth, Inc. is (734) 453-3983.
- Who is the authorized official for Medilodge of Plymouth, Inc.?
- The authorized official listed on Medilodge of Plymouth, Inc.'s NPPES record is Kathleen Denean, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medilodge of Plymouth, Inc.'s NPI active?
- Yes — Medilodge of Plymouth, Inc.'s NPI (1003887662) is active in the NPPES registry as of the last update on 2009-07-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.