OrganizationActive
Haggerty Road Opco LLC
NPI 1386432946 · Skilled Nursing Facility · Plymouth, MI
Haggerty Road Opco LLC is a Skilled Nursing Facility organization in Plymouth, MI (NPI 1386432946).
Provider details
- NPI number
- 1386432946
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Kristine Kirk, Delegated Official(417) 846-3521
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
105 N Haggerty Rd
Plymouth, MI 48170-1801
Phone: (734) 455-0510
Fax: (734) 455-7359
Street-level locationGet directions
Mailing address
105 N Haggerty Rd
Plymouth, MI 48170-1801
Other names (DBA / former)
- Doing business as
- Medilodge of Haggerty Road
Registry dates
- Enumerated
- 2025-04-25
- Last updated
- 2025-10-23
- Certified
- 2025-10-23
Frequently asked questions
- What is Haggerty Road Opco LLC's NPI number?
- Haggerty Road Opco LLC's National Provider Identifier (NPI) is 1386432946, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Haggerty Road Opco LLC?
- Haggerty Road Opco LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Haggerty Road Opco LLC located?
- Haggerty Road Opco LLC's practice location on file with NPPES is 105 N Haggerty Rd, Plymouth, MI 48170-1801.
- What is Haggerty Road Opco LLC's phone number?
- The practice phone number listed in the NPPES registry for Haggerty Road Opco LLC is (734) 455-0510.
- Who is the authorized official for Haggerty Road Opco LLC?
- The authorized official listed on Haggerty Road Opco LLC's NPPES record is Kristine Kirk, Delegated Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Haggerty Road Opco LLC's NPI active?
- Yes — Haggerty Road Opco LLC's NPI (1386432946) is active in the NPPES registry as of the last update on 2025-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.