Organization
GREEN LAKE OPCO, LLC
Active
Other names
The Villa at Green Lake Estates
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELLA GRAF (CFO)
(224) 470-2044
Entity
Organization
Contact information
Practice address
6470 ALDEN DR, WEST BLOOMFIELD, MI 48324-2006
(248) 363-4121
Mailing address
3755 CHASE AVE, SKOKIE, IL 60076-4008
(847) 440-2660
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881074961
—
MI
Enumeration date
06/04/2015
Last updated
11/04/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us