MO
MEDILODGE OF PLYMOUTH, INC.
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
PLYMOUTH, MI
Licensed since
2006
Rate
—
Federal compliance record
Total fines$0
Payment denials / penalties0
Abuse flagNone on record
Federal identifiers
NPI registry number1003887662
CMS Certification Number (CCN)235507
Agency details
Avg residents / day37.1
OwnershipFor profit - Limited Liability company
Chain affiliationMEDILODGE
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameKATHLEEN DENEAN
TitleCHIEF EXECUTIVE OFFICER
Phone7344533983
This profile is not yet claimed.
This caregiver has not yet activated their profile. If this is you, claim and subscribe to make your listing verified and add a full address.
✓ Is this you? Claim your profile
This caregiver has not yet activated their profile. If this is you, claim and subscribe to make your listing verified and add a full address.
✓ Is this you? Claim your profile
Source: NPI Registry · Last refreshed June 24, 2026