Grand Haven Opco LLC
NPI 1770078263 · Skilled Nursing Facility · Grand Haven, MI
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Grand Haven Opco LLC is a Skilled Nursing Facility organization in Grand Haven, MI (NPI 1770078263).
Provider details
- NPI number
- 1770078263
- 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
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
Other names (DBA / former)
- Doing business as
- Medilodge at the Shore
Registry dates
- Enumerated
- 2018-06-27
- Last updated
- 2026-05-28
- Certified
- 2026-05-28
Frequently asked questions
- What is Grand Haven Opco LLC's NPI number?
- Grand Haven Opco LLC's National Provider Identifier (NPI) is 1770078263, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grand Haven Opco LLC?
- Grand Haven Opco LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Grand Haven Opco LLC located?
- Grand Haven Opco LLC's practice location on file with NPPES is 900 S Beacon Blvd, Grand Haven, MI 49417.
- What is Grand Haven Opco LLC's phone number?
- The practice phone number listed in the NPPES registry for Grand Haven Opco LLC is (616) 846-1850.
- Does Grand Haven Opco LLC accept Medicare?
- Grand Haven 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 Grand Haven Opco LLC?
- The authorized official listed on Grand Haven 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 Grand Haven Opco LLC's NPI active?
- Yes — Grand Haven Opco LLC's NPI (1770078263) is active in the NPPES registry as of the last update on 2026-05-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.