OrganizationActive
Medilodge of Royal Oak
NPI 1396705992 · Skilled Nursing Facility · Royal Oak, MI
Provider details
- NPI number
- 1396705992
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jan Kueppers, Chief Financial Officer(586) 752-5008
- License
- 634360 (MI)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
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
3030 Greenfield Rd
Royal Oak, MI 48073-6528
Phone: (248) 288-6610
Approximate (ZIP-level) locationGet directions
Mailing address
64500 Van Dyke Rd
Washington, MI 48095-2583
Registry dates
- Enumerated
- 2006-03-27
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.