NPIMap

Organization Active NPI

Samaritan Mi Opco LLC

  • Skilled Nursing Facility
  • Detroit, MI
National Provider Identifier
1013689637
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SAMARITAN MI OPCO LLC
Practice address
5555 Conner St
Detroit, MI 48213-3448
Phone
(718) 838-1501
NPI assigned
Oct 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rob Korn
Title
Manager
Phone
(718) 838-1501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

5555 Conner St
Detroit, MI 48213-3448

Mailing address

362 E Kennedy Blvd
Lakewood, NJ 08701-1434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211025000927 MI Part A Provider - Skilled Nursing Facility 5991193989 Practice locations: Detroit, MI

Skilled nursing facility certification: CCN 235632

Legal name
SAMARITAN MI OPCO LLC
Doing business as
THE ORCHARDS AT SAMARITAN
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 28, 2007
Last certification
Mar 26, 2025
Beds
120
Ownership / control type
Corporation
Multi-facility organization
Orchards Michigan
Organization structure
LLCProprietary
Incorporated
Jul 20, 2021 in MI
Enrollment address
5555 Conner St
Ste 4000
Detroit, MI 48213-3448
Nursing home name
THE ORCHARDS AT SAMARITAN
Affiliated entity
THE ORCHARDS MICHIGAN

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Orchards at SamaritanCCN 235632
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Aug 28, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120100.0 residents per day on average
Chain
The Orchards Michigan15 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

5555 Conner St
Ste 4000
Detroit, MI 48213

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Isaac Gutman Individual 5% Or Greater Direct Ownership Interest Nov 1, 2021 30%
Jacob Taub Individual 5% Or Greater Direct Ownership Interest Nov 1, 2021 30%
Alexander Hoffman Individual 5% Or Greater Direct Ownership Interest Nov 1, 2021 30%
Jolanda Thomas Individual Operational/Managerial Control Jan 6, 2025
Adp of the SNF Jan 6, 2025
Robert Kornfeld Individual 5% Or Greater Direct Ownership Interest Nov 1, 2021 10%

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1013689637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 E KENNEDY BLVD",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 CONNER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482133448",
            "telephone_number": "718-838-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN MI OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-01",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "KORN",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-838-1501"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.