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Organization Active NPI

Park Nursing Center of Taylor, LLC

  • Skilled Nursing Facility
  • Taylor, MI
National Provider Identifier
1013912922
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
824500 Issued in MI
Legal business name
PARK NURSING CENTER OF TAYLOR, LLC
Practice address
12575 Telegraph Rd
Taylor, MI 48180-4019
Phone
(734) 287-4710
NPI assigned
Jun 16, 2005
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Marcella Graf
Title
Cfo
Phone
(224) 470-2044

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 35

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 35

Practitioners 8

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

Affiliated clinicians 4

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Regency, A Villa CenterCCN 235333
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Feb 22, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
244200.0 residents per day on average
Chain
Villa Healthcare18 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Medicare participation

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

Skilled nursing facility certification: CCN 235333

Medicare enrollment files
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
LLCProprietary
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

All disclosed owners & managing parties 17

Medicare enrollment files

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

NameRoleSinceShare
Israel Family Investment Trust Organization, Lincolnwood, IL Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 24, 2025 6.5%
Ab Investment Trust U/a/D 01/03/23 Organization, Chicago, IL Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 24, 2025 13%
Todd a Stern Individual 5% Or Greater Indirect Ownership Interest Feb 24, 2025 12%
Yehoshua Baumol Individual 5% Or Greater Indirect Ownership InterestCoo Feb 24, 2025 27%
Operational/Managerial Control Feb 15, 2025
Joseph B Singerman Individual Operational/Managerial Control Feb 24, 2025
Adp of the SNF Feb 24, 2025
Marcella Graf Individual Operational/Managerial Control Feb 15, 2025
Indirect Ownership Interest Feb 24, 2025 1%
Todd a Stern 2015 Irrv Ins TR Organization, Skokie, IL Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 24, 2025 12%
Trennese Hoskins-Jones Individual Operational/Managerial Control Feb 24, 2025
Adp of the SNF Feb 24, 2025
Gabriel Kroll Individual Indirect Ownership Interest Feb 24, 2025 1%
Benjamin Israel Individual 5% Or Greater Indirect Ownership Interest Feb 24, 2025 13%
Israel Investment TR Organization, Lincolnwood, IL Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 24, 2025 6.5%
Omnia Opco Holdings LLC Organization, Lincolnwood, IL Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 1, 2023 100%
Jonathan Aaron Individual 5% Or Greater Indirect Ownership InterestManager Feb 24, 2025 31%
Operational/Managerial Control Feb 15, 2025
Aaron Family Investment Trust Organization, Northbrook, IL Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 24, 2025 31%
Steven Nagel Individual Indirect Ownership Interest Feb 24, 2025 2%
Menachem Berger Individual 5% Or Greater Indirect Ownership Interest Feb 24, 2025 13%
Omnia Healthcare Group LLC Organization, Lincolnwood, IL LLC, Management services company Adp of the SNF Feb 14, 2025

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20080227000221 MI Part a Provider - Skilled Nursing Facility 9739263948 Practice locations: Taylor, MI

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 824500 MI Primary

Addresses

NPPES NPI Registry

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 identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
423782360MedicaidMI

Other names 2

NPPES NPI Registry
  • REGENCY HEALTH CARE CENTRE Doing business as
  • Regency a Villa Center Doing business as

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 4, 2025.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "423782360",
            "state": "MI"
        }
    ],
    "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

Verify at the official NPI Registry.