NPIMap

Organization Active NPI

Warren Opco, LLC

Doing business as The Villa at City Center

  • Skilled Nursing Facility
  • Warren, MI
National Provider Identifier
1245610328
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WARREN OPCO, LLC
Doing business as
The Villa at City Center
Practice address
11700 E 10 Mile Rd
Warren, MI 48089-3903
Phone
(586) 759-5960
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 NU Primary

Addresses

Primary practice location

11700 E 10 Mile Rd
Warren, MI 48089-3903

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1245610328MedicaidMI

Other names 1

  • The Villa at City Center 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
O20160303002612 MI Part A Provider - Skilled Nursing Facility 7214233022 Practice locations: Warren, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245610328. Details of each certification follow.

Skilled nursing facility certification: CCN 235325

Legal name
WARREN OPCO LLC
Doing business as
THE VILLA AT CITY CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 25, 1979
Last certification
Jan 8, 2025
Beds
152
Ownership / control type
Corporation
Multi-facility organization
Villa Healthcare
Organization structure
LLCProprietary
Incorporated
Mar 31, 2015 in MI
Enrollment address
11700 E Mile Rd
Warren, MI 48089-3903
Nursing home name
THE VILLA AT CITY CENTER
Affiliated entity
VILLA HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Villa at City CenterCCN 235325 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 25, 1979
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
152139.2 residents per day on average
Chain
Villa Healthcare18 facilities in the chain
Penalties (3 years)
5Fines totaling $8,454

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
23D0365793Villa at City Center, the11700 E 10 Mile Road, Warren, MI 48089Certificate 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
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
Kwadwo Owusu-Ansah Individual Operational/Managerial Control May 15, 2023
Adp of the SNF May 15, 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 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.

Affiliated clinicians 4

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": "1245610328",
    "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": "11700 E 10 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480893903",
            "telephone_number": "586-759-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN 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": "1245610328",
            "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 City Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Villa at City Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.