OrganizationActive
Clarkston Opco LLC
NPI 1114891587 · Skilled Nursing Facility · Clarkston, MI
Clarkston Opco LLC is a Skilled Nursing Facility organization in Clarkston, MI (NPI 1114891587).
Provider details
- NPI number
- 1114891587
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Marcella Graf, Cfo(224) 470-2044
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
4800 Clintonville Rd
Clarkston, MI 48346-4297
Phone: (248) 674-0903
Fax: (248) 674-3431
Street-level locationGet directions
Mailing address
3701 W Lunt Ave
Lincolnwood, IL 60712-2615
Other names (DBA / former)
- Doing business as
- Villa at Pine Place
Registry dates
- Enumerated
- 2025-09-30
- Last updated
- 2025-09-30
- Certified
- 2025-09-30
Frequently asked questions
- What is Clarkston Opco LLC's NPI number?
- Clarkston Opco LLC's National Provider Identifier (NPI) is 1114891587, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clarkston Opco LLC?
- Clarkston Opco LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Clarkston Opco LLC located?
- Clarkston Opco LLC's practice location on file with NPPES is 4800 Clintonville Rd, Clarkston, MI 48346-4297.
- What is Clarkston Opco LLC's phone number?
- The practice phone number listed in the NPPES registry for Clarkston Opco LLC is (248) 674-0903.
- Who is the authorized official for Clarkston Opco LLC?
- The authorized official listed on Clarkston Opco LLC's NPPES record is Marcella Graf, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clarkston Opco LLC's NPI active?
- Yes — Clarkston Opco LLC's NPI (1114891587) is active in the NPPES registry as of the last update on 2025-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.