Livonia SNF Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LIVONIA SNF OPERATIONS LLC

Practice address

28550 Five Mile Rd
Livonia, MI 48154-3866

Phone

(734) 427-8270

NPI assigned

Apr 29, 2021

Last updated

Jul 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul Pruitt

Title

Officer

Phone

(317) 288-4029

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043893951. Details of each certification follow.

• CCN 235057 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 235057

Legal name

LIVONIA SNF OPERATIONS LLC

Doing business as

MAJESTIC CARE OF LIVONIA

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1967

Last certification

Dec 10, 2024

Beds

142

Ownership / control type

Corporation

Multi-facility organization

Majestic Care

Organization structure

LLCProprietary

Incorporated

Mar 11, 2021 in MI

Enrollment address

28550 Five Mile Rd
Livonia, MI 48154-3866

Nursing home name

MAJESTIC CARE OF LIVONIA

Affiliated entity

MAJESTIC CARE

Listed as

Majestic Care of LivoniaCCN 235057 · All quality measures

Overall star rating

3 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jan 1, 1967

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

14295.5 residents per day on average

Chain

Majestic Care22 facilities in the chain

Penalties (3 years)

4Fines totaling $139,006

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 18

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

Owners & managing parties with NPI records 2

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

• Hassan A. Bazzi, D.O.

  • Internal Medicine Physician
  • Troy, MI
  • NPI 1457507006

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Robert Laron Russell, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Carmel, IN
  • NPI 1407052376

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 2

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

• Battle Creek SNF Operations LLC

  • Skilled Nursing Facility
  • Battle Creek, MI
  • NPI 1487237392

  Dem Family Trust I, Majestic Management Michigan LLC, Majestic Michigan Operations I LLC

  CMS ownership
• Flushing SNF Operations LLC

  • Skilled Nursing Facility
  • Flushing, MI
  • NPI 1336722248

  Dem Family Trust I, Majestic Management Michigan LLC, Majestic Michigan Operations I LLC

  CMS ownership

Practitioners 4

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.

• Shahid M Ansari, MD

  • Internal Medicine Physician
  • Livonia, MI
  • NPI 1376518175
  NPD (past)
• Hassan A. Bazzi, D.O.

  • Internal Medicine Physician
  • Troy, MI
  • NPI 1457507006
  NPD (past)
• Garen Wolff

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1154855443
  NPD (past)
• Robert A Jason, DO

  • Family Medicine Physician
  • Crescent City, CA
  • NPI 1700260015
  NPD (past)

Affiliated clinicians 2

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

• Sankalp Bhatnagar, M.D.

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1679014864

  Nursing home

  Care Compare affiliation
• Garen Wolff

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1154855443

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1043893951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 E MAIN ST STE 210",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460745301",
            "telephone_number": "317-288-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28550 FIVE MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543866",
            "telephone_number": "734-427-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVONIA SNF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-29",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "317-288-4029"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Livonia Sleep Center LLC
• Livonia Sleep Solutions PLLC
• Livonia Smiles Dental Center
• Livonia SNF Opco LLC
• Livonia SNF Operating, LLC (Mission Point Nursing & Physical Rehabilitation Center of Livonia)
• Livonia SNF, LLC (Illuminate HC Livonia)
• Livonia Surgery Center LLC
• Livonia Urgent Care & Medical Center PLLC
• Livonia Wellness Services Inc
• Jessica Lyne Lizardi

• Skilled Nursing Facility in Livonia, MI
• Providers in Livonia, MI by specialty
• Skilled Nursing Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.

Verify at the official NPI Registry.