NPI 1962379081 · live from the CMS NPI Registry
Clinton Opco LLC
Skilled Nursing Facility in Clinton Twp, MI. National Provider Identifier 1962379081, active.
NPI record
| NPI | 1962379081 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 17001 17 Mile Rd, Clinton Twp, MI 48038 |
| Practice phone | 586-286-7100 |
| Enumerated | October 22, 2025 |
| Last updated | October 22, 2025 |
| Authorized official | Tiffany Lockhart, Cfo |
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.