NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Medilodge of Port Huron, LLC

Skilled Nursing Facility in Fort Gratiot, MI · enumerated 2008 · authorized official Kathleen Denean, Chief Executive Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1891955720

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Medilodge of Port Huron, LLC
Practice address 5635 Lakeshore Rd, Fort Gratiot, MI, 48059
Phone (810) 385-7447
Enumeration date Jun 13, 2008
Last updated in NPPES Jun 13, 2008

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Kathleen Denean
Title Chief Executive Officer
Phone (586) 752-5008

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Medilodge of Port Huron, LLC?
The NPI for Medilodge of Port Huron, LLC is 1891955720, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Medilodge of Port Huron, LLC?
NPPES lists Kathleen Denean (Chief Executive Officer) as the authorized official for this organization.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-06-13.