NPI 1295251676 · live from the CMS NPI Registry
Cheboygan Opco LLC
Skilled Nursing Facility in Cheboygan, MI. National Provider Identifier 1295251676, active.
NPI record
| NPI | 1295251676 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 824 S Huron St, Cheboygan, MI 49721 |
| Practice phone | 231-627-4347 |
| Mailing address | 7400 New La Grange Rd Ste 400, Louisville, KY 40222 |
| Enumerated | August 17, 2017 |
| Last updated | May 28, 2026 |
| Authorized official | Kristine Kirk, Delegated Official |
| Other names | Medilodge Of Cheboygan |
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.