Active NPI
Park Nursing Center of Taylor, LLC
Doing business as Regency Health Care Centre
- Skilled Nursing Facility
- Taylor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 824500
- Legal business name
- PARK NURSING CENTER OF TAYLOR, LLC
- Doing business as
- Regency Health Care Centre
Regency a Villa Center - Practice address
- 12575 Telegraph Rd
Taylor, MI 48180-4019 - Phone
- (734) 287-4710
- NPI assigned
- Jun 16, 2005
- Last updated
- Nov 4, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marcella Graf
- Title
- Cfo
- Phone
- (224) 470-2044
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 824500 | MI | Primary |
Addresses
Primary practice location
12575 Telegraph Rd
Taylor, MI 48180-4019
Mailing address
3701 W Lunt Ave
Lincolnwood, IL 60712-2615
Phone (847) 440-2660
Other names 2
- REGENCY HEALTH CARE CENTRE
- Regency a Villa Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080227000221 | MI | Part A Provider - Skilled Nursing Facility | 9739263948 | Practice locations: Taylor, MI |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1013912922. Details of each certification follow.
Skilled nursing facility certification: CCN 235333
- Legal name
- PARK NURSING CENTER OF TAYLOR, LLC
- Doing business as
- REGENCY, A VILLA CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Feb 22, 1977
- Last certification
- Nov 1, 2024
- Beds
- 244
- Ownership / control type
- Individual
- Organization structure
- LLC
- Incorporated
- Jun 27, 2000 in MI
- Enrollment address
- 12575 Telegraph Rd
Taylor, MI 48180-4019 - Nursing home name
- REGENCY, A VILLA CENTER
- Affiliated entity
- VILLA HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Regency, A Villa Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Feb 22, 1977
- Medicare certification status
- Active
- Certified beds
- 244
- Chain
- Villa Healthcare
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 17
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Israel Family Investment Trust | 5% Or Greater Indirect Ownership Interest | Feb 24, 2025 | 6.5% |
| Ab Investment Trust U/a/D 01/03/23 | 5% Or Greater Indirect Ownership Interest | Feb 24, 2025 | 13% |
| Todd a Stern | 5% Or Greater Indirect Ownership Interest | Feb 24, 2025 | 12% |
| Yehoshua Baumol | 5% Or Greater Indirect Ownership Interest | Feb 24, 2025 | 27% |
| Operational/Managerial Control | Feb 15, 2025 | ||
| Joseph B Singerman | Operational/Managerial Control | Feb 24, 2025 | |
| Adp of the SNF | Feb 24, 2025 | ||
| Marcella Graf | Operational/Managerial Control | Feb 15, 2025 | |
| Indirect Ownership Interest | Feb 24, 2025 | 1% | |
| Todd a Stern 2015 Irrv Ins TR | 5% Or Greater Indirect Ownership Interest | Feb 24, 2025 | 12% |
| Trennese Hoskins-Jones | Operational/Managerial Control | Feb 24, 2025 | |
| Adp of the SNF | Feb 24, 2025 | ||
| Gabriel Kroll | Indirect Ownership Interest | Feb 24, 2025 | 1% |
| Benjamin Israel | 5% Or Greater Indirect Ownership Interest | Feb 24, 2025 | 13% |
| Israel Investment TR | 5% Or Greater Indirect Ownership Interest | Feb 24, 2025 | 6.5% |
| Omnia Opco Holdings LLC | 5% Or Greater Direct Ownership Interest | Jul 1, 2023 | 100% |
| Jonathan Aaron | 5% Or Greater Indirect Ownership Interest | Feb 24, 2025 | 31% |
| Operational/Managerial Control | Feb 15, 2025 | ||
| Aaron Family Investment Trust | 5% Or Greater Indirect Ownership Interest | Feb 24, 2025 | 31% |
| Steven Nagel | Indirect Ownership Interest | Feb 24, 2025 | 2% |
| Menachem Berger | 5% Or Greater Indirect Ownership Interest | Feb 24, 2025 | 13% |
| Omnia Healthcare Group LLC | Adp of the SNF | Feb 14, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Livonia, MI
- NPI 1891917613
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 35
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba St. Joseph's a Villa Center
- Skilled Nursing Facility
- Hamtramck, MI
- NPI 1649261827
Omnia Opco Holdings LLC
-
dba Imperial Health Care Centre
- Skilled Nursing Facility
- Dearborn Heights, MI
- NPI 1225029465
Omnia Opco Holdings LLC
-
- Skilled Nursing Facility
- Center Line, MI
- NPI 1710278825
Omnia Opco Holdings LLC
-
dba The Villa at Green Lake Estates
- Skilled Nursing Facility
- West Bloomfield, MI
- NPI 1881074961
Omnia Opco Holdings LLC
-
dba The Villa at the Park
- Skilled Nursing Facility
- Highland Park, MI
- NPI 1225418304
Omnia Opco Holdings LLC
-
dba Ambassador Nursing & Rehab Center
- Skilled Nursing Facility
- Detroit, MI
- NPI 1770812281
Aaron Family Investment Trust, Ab Investment Trust U/a/D 01/03/23, Israel Family Investment Trust, Israel Investment TR, Omnia Opco Holdings LLC, Todd a Stern 2015 Irrv Ins TR
-
dba The Villa at Silverbell Estates
- Skilled Nursing Facility
- Orion, MI
- NPI 1669852646
Aaron Family Investment Trust, Ab Investment Trust U/a/D 01/03/23, Omnia Opco Holdings LLC, Todd a Stern 2015 Irrv Ins TR
-
dba The Villa at the Bay
- Skilled Nursing Facility
- Petoskey, MI
- NPI 1477933455
Omnia Opco Holdings LLC
-
dba The Villa at Great Lake Crossing
- Skilled Nursing Facility
- Detroit, MI
- NPI 1144600222
Omnia Opco Holdings LLC
-
dba The Villa at Rose City
- Skilled Nursing Facility
- Rose City, MI
- NPI 1598145575
Omnia Opco Holdings LLC
-
dba The Villa at Traverse Point
- Skilled Nursing Facility
- Traverse City, MI
- NPI 1700266780
Omnia Opco Holdings LLC
-
dba Villa at Borgess Place
- Skilled Nursing Facility
- Kalamazoo, MI
- NPI 1548001563
Aaron Family Investment Trust, Ab Investment Trust U/a/D 01/03/23, Israel Family Investment Trust, Israel Investment TR, Todd a Stern 2015 Irrv Ins TR
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Allen Park, MI
- NPI 1518250133
-
- Internal Medicine Physician
- Dearborn Heights, MI
- NPI 1730445503
-
- Family Medicine Physician
- Southgate, MI
- NPI 1558561720
-
- Internal Medicine Physician
- Livonia, MI
- NPI 1679885388
-
- Internal Medicine Physician
- Dearborn, MI
- NPI 1932158425
-
- Internal Medicine Physician
- Taylor, MI
- NPI 1073531034
-
- Internal Medicine Physician
- Dearborn, MI
- NPI 1437413721
-
- Internal Medicine Physician
- Dearborn, MI
- NPI 1689962136
Affiliated clinicians 4
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": "1118880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762214400000",
"number": "1013912922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 W LUNT AVE",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607122615",
"telephone_number": "847-440-2660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12575 TELEGRAPH RD",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481804019",
"telephone_number": "734-287-4710"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARK NURSING CENTER OF TAYLOR, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-16",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A",
"authorized_official_last_name": "GRAF",
"authorized_official_first_name": "MARCELLA",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "224-470-2044"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MI",
"license": "824500",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1066.1",
"affiliationName": "eSolutions Inc",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8215 W 108th Ter",
"city": "Overland Park",
"state": "KS",
"country_code": "US",
"postal_code": "662101661",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "REGENCY HEALTH CARE CENTRE",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "REGENCY HEALTH CARE CENTRE",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Regency a Villa Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Taylor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.