Southgate Mi Opco LLC
NPI 1205508827 · Skilled Nursing Facility · Southgate, MI
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southgate Mi Opco LLC is a Skilled Nursing Facility organization in Southgate, MI (NPI 1205508827).
Provider details
- NPI number
- 1205508827
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Rob Korn, Manager(718) 838-1501
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
4 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
- 2021-10-01
- Last updated
- 2021-10-05
- Certified
- 2021-10-05
Frequently asked questions
- What is Southgate Mi Opco LLC's NPI number?
- Southgate Mi Opco LLC's National Provider Identifier (NPI) is 1205508827, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southgate Mi Opco LLC?
- Southgate Mi Opco LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Southgate Mi Opco LLC located?
- Southgate Mi Opco LLC's practice location on file with NPPES is 15400 Trenton Rd, Southgate, MI 48195-2075.
- What is Southgate Mi Opco LLC's phone number?
- The practice phone number listed in the NPPES registry for Southgate Mi Opco LLC is (718) 838-1501.
- Does Southgate Mi Opco LLC accept Medicare?
- Southgate Mi Opco LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southgate Mi Opco LLC?
- The authorized official listed on Southgate Mi Opco LLC's NPPES record is Rob Korn, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southgate Mi Opco LLC's NPI active?
- Yes — Southgate Mi Opco LLC's NPI (1205508827) is active in the NPPES registry as of the last update on 2021-10-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.