Port Huron Opco LLC
NPI 1942641964 · Skilled Nursing Facility · Fort Gratiot, MI
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Port Huron Opco LLC is a Skilled Nursing Facility organization in Fort Gratiot, MI (NPI 1942641964).
Provider details
- NPI number
- 1942641964
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Stacey Rogers, Chief Financial Officer(502) 429-8062
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
12 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 of Port Huron
Registry dates
- Enumerated
- 2013-07-08
- Last updated
- 2014-12-30
Frequently asked questions
- What is Port Huron Opco LLC's NPI number?
- Port Huron Opco LLC's National Provider Identifier (NPI) is 1942641964, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Port Huron Opco LLC?
- Port Huron Opco LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Port Huron Opco LLC located?
- Port Huron Opco LLC's practice location on file with NPPES is 5635 Lakeshore Rd, Fort Gratiot, MI 48059-2817.
- What is Port Huron Opco LLC's phone number?
- The practice phone number listed in the NPPES registry for Port Huron Opco LLC is (810) 385-7447.
- Does Port Huron Opco LLC accept Medicare?
- Port Huron 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 Port Huron Opco LLC?
- The authorized official listed on Port Huron Opco LLC's NPPES record is Stacey Rogers, Chief Financial Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Port Huron Opco LLC's NPI active?
- Yes — Port Huron Opco LLC's NPI (1942641964) is active in the NPPES registry as of the last update on 2014-12-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.