Organization Active NPI

Beverly Hills Opco LLC

  • Skilled Nursing Facility
  • Beverly Hills, MI
National Provider Identifier
1326915422
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BEVERLY HILLS OPCO LLC
Practice address
18200 W 13 Mile Rd
Beverly Hills, MI 48025-5446
Phone
(248) 647-6500
Fax
(248) 642-7685
NPI assigned
Oct 22, 2025
Last updated
Oct 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Authorized official

Name
Tiffany M Lockhart
Title
Cfo
Phone
(330) 223-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

18200 W 13 Mile Rd
Beverly Hills, MI 48025-5446

Mailing address

18200 W 13 Mile Rd
Beverly Hills, MI 48025-5446
Phone (248) 647-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251211001790 MI Part A Provider - Skilled Nursing Facility 9931693413 Practice locations: Beverly Hills, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1326915422. Details of each certification follow.

Skilled nursing facility certification: CCN 235664

Legal name
BEVERLY HILLS OPCO LLC
Doing business as
HARMONY VILLAGE OF BEVERLY HILLS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 10, 2013
Last certification
Jun 11, 2025
Beds
96
Ownership / control type
Corporation
Multi-facility organization
Certus Healthcare
Most recent change of ownership
Nov 1, 2025
Organization structure
LLCProprietary
Enrollment address
18200 W 13 Mile Rd
Beverly Hills, MI 48025-5446
Nursing home name
HARMONY VILLAGE OF BEVERLY HILLS
Affiliated entity
CERTUS HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Harmony Village of Beverly HillsCCN 235664 · All quality measures
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
May 10, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9644.4 residents per day on average
Chain
Certus Healthcare14 facilities in the chain
Special focus status
SFF
Penalties (3 years)
1Fines totaling $0
Ownership change
Changed ownership in the last 12 months

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
23D0670013Beverly Hills Opco LLC18200 W 13 Mile Road, Beverly Hills, MI 48025Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
JM and Mazel LLC Organization, Brooklyn, NY LLC, Holding company Adp of the SNF Nov 1, 2025
Indirect Ownership Interest Nov 1, 2025 7%
Harmony Village Opco Holdco LLC Organization, Cleveland, OH LLC, Holding company Adp of the SNF Jan 21, 2026
Direct Ownership Interest Nov 1, 2025
Shmuel Fishman Individual 5% Or Greater Direct Ownership Interest Nov 1, 2025 50%
Managing Control - Governing BodyPresident Nov 1, 2025
Indirect Ownership Interest Nov 1, 2025 35.75%
Joseph Orgel Individual Indirect Ownership Interest Nov 1, 2025 14%
CHM Mi LLC Organization, Cleveland, MI LLC, Management services company Operational/Managerial Control Nov 1, 2025
Adp of the SNF Nov 1, 2025
Trisha Zuniga Individual Operational/Managerial Control Jul 1, 2025
Adp of the SNF Jan 23, 2026
Gitberk Trust Organization, Brooklyn, NY Adp of the SNF Nov 1, 2025
Indirect Ownership Interest Nov 1, 2025 7%
Josephine Aririguzo Individual Operational/Managerial Control Nov 1, 2025
Harmony Village Propco Holdco LLC Organization, Cleveland, OH LLC, Holding company Adp of the SNF Jan 21, 2026
Mohammad Saleh Individual Operational/Managerial Control Nov 1, 2025
Adp of the SNF Jan 23, 2026
Beverly Hills Realty Holdings LLC Organization, Lincolnwood, IL LLC Adp of the SNF Nov 1, 2025
JBL 120 Trust Organization, Brooklyn, NY Adp of the SNF Nov 1, 2025
Indirect Ownership Interest Nov 1, 2025 7%
Indigo Michigan NH1 LLC Organization, Brooklyn, NY LLC, Holding company Adp of the SNF Nov 1, 2025
Indirect Ownership Interest Nov 1, 2025 35%
Jason Dipasqua Individual Managing Control - Governing BodyChief Executive Officer Nov 1, 2025
Direct Ownership Interest Nov 1, 2025 50%
Indirect Ownership Interest Nov 1, 2025 29.25%
Mazel Family Trust Organization, Brooklyn, NY Adp of the SNF Nov 1, 2025
Indirect Ownership Interest Nov 1, 2025 7%

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 3

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

Practitioners & affiliated clinicians

Practitioners 2

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 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": "1761091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1326915422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18200 W 13 MILE RD",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "480255446",
            "telephone_number": "248-647-6500",
            "fax_number": "248-642-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18200 W 13 MILE RD",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "480255446",
            "telephone_number": "248-647-6500",
            "fax_number": "248-642-7685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY HILLS OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "LOCKHART",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "330-223-8200"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, MI

Sources for this page

Verify at the official NPI Registry.