Active NPI
Redford Opco, LLC
Doing business as The Villa at Great Lake Crossing
- Skilled Nursing Facility
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- REDFORD OPCO, LLC
- Doing business as
- The Villa at Great Lake Crossing
- Practice address
- 22811 W 7 Mile Rd
Detroit, MI 48219-1739 - Phone
- (313) 534-1440
- NPI assigned
- Jun 4, 2015
- 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 | NU | Primary |
Addresses
Primary practice location
22811 W 7 Mile Rd
Detroit, MI 48219-1739
Mailing address
3755 Chase Ave
Skokie, IL 60076-4008
Phone (847) 440-2660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144600222 | Medicaid | MI |
Other names 1
- The Villa at Great Lake Crossing
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 |
|---|---|---|---|---|
| O20160303001754 | MI | Part A Provider - Skilled Nursing Facility | 5496051286 | Practice locations: Detroit, MI |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1144600222. Details of each certification follow.
Skilled nursing facility certification: CCN 235402
- Legal name
- REDFORD OPCO LLC
- Doing business as
- THE VILLA AT GREAT LAKES CROSSING
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 24, 1979
- Last certification
- Jan 14, 2025
- Beds
- 96
- Ownership / control type
- Individual
- Multi-facility organization
- Villa Healthcare
- Organization structure
- LLC
- Incorporated
- Mar 30, 2015 in MI
- Enrollment address
- 22811 W 7 Mile Rd
Detroit, MI 48219-1739 - Nursing home name
- THE VILLA AT GREAT LAKES CROSSING
- Affiliated entity
- VILLA HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- The Villa at Great Lakes Crossing
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Aug 24, 1979
- Medicare certification status
- Active
- Certified beds
- 96
- Chain
- Villa Healthcare
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Yehoshua Baumol | Operational/Managerial Control | Jul 1, 2023 | |
| Joseph B Singerman | Operational/Managerial Control | Jul 1, 2023 | |
| Adp of the SNF | Jul 1, 2023 | ||
| Marcella Graf | Operational/Managerial Control | Jul 1, 2023 | |
| Omnia Opco Holdings LLC | 5% Or Greater Direct Ownership Interest | Jul 1, 2023 | 100% |
| Jonathan Aaron | Corporate Officer | Jul 1, 2023 | |
| Operational/Managerial Control | Jul 1, 2023 | ||
| Natalie Knight | Operational/Managerial Control | Nov 6, 2023 | |
| Adp of the SNF | Nov 6, 2023 |
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 16
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
Omnia Opco Holdings LLC
-
dba The Villa at Silverbell Estates
- Skilled Nursing Facility
- Orion, MI
- NPI 1669852646
Omnia Opco Holdings LLC
-
dba Regency Health Care Centre
- Skilled Nursing Facility
- Taylor, MI
- NPI 1013912922
Omnia Opco Holdings LLC
-
dba The Villa at the Bay
- Skilled Nursing Facility
- Petoskey, MI
- NPI 1477933455
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 The Villa at City Center
- Skilled Nursing Facility
- Warren, MI
- NPI 1245610328
Omnia Opco Holdings LLC
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.
-
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1912941477
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1265747463
-
- Internal Medicine Physician
- Hamtramck, MI
- NPI 1225016256
-
- Internal Medicine Physician
- Southfield, MI
- NPI 1003847617
-
- Internal Medicine Physician
- Livonia, MI
- NPI 1891917613
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": "1433376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762214400000",
"number": "1144600222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3755 CHASE AVE",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600764008",
"telephone_number": "847-440-2660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22811 W 7 MILE RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482191739",
"telephone_number": "313-534-1440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REDFORD OPCO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-04",
"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": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1144600222",
"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": "The Villa at Great Lake Crossing",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "The Villa at Great Lake Crossing",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Detroit, 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.