Optalis Bloomfield Hills Opco, LLC
NPI 1205622842ActiveOrganization· Skilled Nursing Facility· Bloomfield Hills, MI
Skilled Nursing Facility in Bloomfield Hills, Michigan, registered in NPPES in April 2025. The authorized official on file is Lavern Williams-Moore, Administrator. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1205622842 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 18, 2025 |
| Last updated in NPPES | Jun 19, 2026 |
| Certified by provider | Jun 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (MI) |
|---|
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