NPIMap

Organization Active NPI

Harper Woods Mi Opco LLC

  • Skilled Nursing Facility
  • Harper Woods, MI
National Provider Identifier
1083386692
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HARPER WOODS MI OPCO LLC
Practice address
19840 Harper Ave
Harper Woods, MI 48225-1804
Phone
(718) 838-1501
NPI assigned
Oct 1, 2021
Last updated
Oct 5, 2021By the provider in NPPES
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 NU Primary

Addresses

Primary practice location

19840 Harper Ave
Harper Woods, MI 48225-1804

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
O20211021001298 MI Part A Provider - Skilled Nursing Facility 2961890132 Practice locations: Harper Woods, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083386692. Details of each certification follow.

Skilled nursing facility certification: CCN 235480

Legal name
HARPER WOODS MI OPCO LLC
Doing business as
THE ORCHARDS AT HARPER WOODS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 6, 1989
Last certification
Mar 25, 2025
Beds
151
Ownership / control type
Corporation
Multi-facility organization
The Orchards Michigan
Organization structure
LLCProprietary
Incorporated
Jul 20, 2021 in MI
Enrollment address
19840 Harper Ave
Harper Woods, MI 48225-1804
Nursing home name
THE ORCHARDS AT HARPER WOODS
Affiliated entity
THE ORCHARDS MICHIGAN

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Orchards at Harper WoodsCCN 235480 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 6, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
151131.4 residents per day on average
Chain
The Orchards Michigan15 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0669813Orchards of Harper Woods, the19840 Harper Avenue, Harper Woods, MI 48225Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

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 InterestOwner Nov 1, 2021 30%
Brandon Woodward Individual W-2 Managing EmployeeAdministrator Nov 1, 2021
Michele Long Individual W-2 Managing EmployeeDirector of Nursing Nov 1, 2021
Jacob Taub Individual 5% Or Greater Direct Ownership Interest30 Nov 1, 2021
Alexander Hoffman Individual 5% Or Greater Direct Ownership InterestOwner Nov 1, 2021 30%
Robert Kornfeld Individual 5% Or Greater Direct Ownership Interest10 Nov 1, 2021

Practitioners & affiliated clinicians

Practitioners 5

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.

Affiliated clinicians 5

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": "1083386692",
    "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": "19840 HARPER AVE",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251804",
            "telephone_number": "718-838-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARPER WOODS 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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harper Woods, MI

Sources for this page

Verify at the official NPI Registry.