Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Port Huron Opco LLC

Organization Skilled Nursing Facility · NPI 1942641964

Port Huron Opco LLC is a Skilled Nursing Facility in Fort Gratiot, Michigan. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5635 Lakeshore Rd
Fort Gratiot, MI 48059-2817
Phone: (810) 385-7447
Fax: (810) 385-7114
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1942641964
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacey Rogers — Chief Financial Officer · (502) 429-8062
Other names Medilodge Of Port Huron
NPI enumeratedJuly 8, 2013
Last updated in NPPESDecember 30, 2014
Mailing address7400 New La Grange Rd, Suite 100, Louisville, KY 40222-4870

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