NPI 1255796512 · live from the CMS NPI Registry
Farmington Opco LLC
Skilled Nursing Facility in Farmington, MI. National Provider Identifier 1255796512, active.
NPI record
| NPI | 1255796512 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 34225 Grand River Ave, Farmington, MI 48335 |
| Practice phone | 248-477-7373 |
| Mailing address | 7400 New La Grange Rd Ste 100, Louisville, KY 40222 |
| Enumerated | December 30, 2015 |
| Last updated | December 30, 2015 |
| Authorized official | Stacey Rogers, Chief Financial Officer |
| Other names | Medilodge Of Farmington |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.