# HILLMAN OPCO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medilodge of Hillman
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780025288
- **Authorized official:** MR. STACEY PAUL ROGERS (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (502) 429-8062

## Contact information

- **Practice address:** 631 CARING ST, HILLMAN, MI 49746-8818
- **Practice address phone:** (989) 742-4581
- **Practice address fax:** (989) 742-3710
- **Mailing address:** 7400 NEW LA GRANGE RD STE 400, LOUISVILLE, KY 40222-4870
- **Mailing address phone:** (502) 429-8062
- **Mailing address fax:** (502) 429-0650

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 07/12/2013
- **Last updated:** 07/01/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1780025288 | — | MI |