NPIMap

Organization Active NPI

Highland Park Opco, LLC

Doing business as The Villa at the Park

  • Skilled Nursing Facility
  • Highland Park, MI
National Provider Identifier
1225418304
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HIGHLAND PARK OPCO, LLC
Doing business as
The Villa at the Park
Practice address
111 Ford St
Highland Park, MI 48203-3622
Phone
(313) 883-3585
NPI assigned
Jun 4, 2015
Last updated
Nov 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

111 Ford St
Highland Park, MI 48203-3622

Mailing address

3755 Chase Ave
Skokie, IL 60076-4008
Phone (847) 440-2660

Other identifiers 1

IdentifierTypeStateIssuer
1225418304MedicaidMI

Other names 1

  • The Villa at the Park Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
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 IDStateProvider typePAC IDDetails
O20160303000599 MI Part A Provider - Skilled Nursing Facility 4789980657 Practice locations: Highland Park, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225418304. Details of each certification follow.

Skilled nursing facility certification: CCN 235463

Legal name
HIGHLAND PARK OPCO LLC
Doing business as
THE VILLA AT THE PARK
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 28, 1987
Last certification
Aug 29, 2024
Beds
114
Ownership / control type
Corporation
Multi-facility organization
Omnia Healthcare Group
Organization structure
LLCProprietary
Incorporated
Mar 30, 2015 in MI
Enrollment address
111 Ford St
Highland Park, MI 48203-3622
Nursing home name
THE VILLA AT THE PARK
Affiliated entity
VILLA HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Villa at the ParkCCN 235463 · 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
Sep 28, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
114101.9 residents per day on average
Chain
Villa Healthcare18 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
3Fines totaling $64,623

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
23D0369684Villa at the Park111 Ford Avenue, Highland Park, MI 48203Certificate 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
Elaina Henderson-Berry Individual Operational/Managerial Control Mar 6, 2025
Adp of the SNF Mar 6, 2025
Yehoshua Baumol Individual Operational/Managerial Control Jul 1, 2023
Joseph B Singerman Individual Operational/Managerial Control Jul 1, 2023
Adp of the SNF Jul 1, 2023
Marcella Graf Individual Operational/Managerial Control Jul 1, 2023
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 Corporate OfficerManager Jul 1, 2023
Operational/Managerial Control Jul 1, 2023

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 16

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

View all 16

Practitioners & affiliated clinicians

Practitioners 3

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 1

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": "1225418304",
    "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": "111 FORD ST",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "482033622",
            "telephone_number": "313-883-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND PARK 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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225418304",
            "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 the Park",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Villa at the Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Highland Park, MI

Sources for this page

Verify at the official NPI Registry.