Active NPI
Beverly Hills Opco LLC
- Skilled Nursing Facility
- Beverly Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 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
- Tiffany M Lockhart
- Title
- Cfo
- Phone
- (330) 223-8200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Hills
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- May 10, 2013
- Medicare certification status
- Active
- Certified beds
- 96
- Chain
- Certus Healthcare
- Special focus status
- SFF
- Penalties (3 years)
- 1
- Ownership change
- Changed ownership in the last 12 months
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D0670013 | Beverly Hills Opco LLC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| JM and Mazel LLC | Adp of the SNF | Nov 1, 2025 | |
| Indirect Ownership Interest | Nov 1, 2025 | 7% | |
| Harmony Village Opco Holdco LLC | Adp of the SNF | Jan 21, 2026 | |
| Direct Ownership Interest | Nov 1, 2025 | ||
| Shmuel Fishman | 5% Or Greater Direct Ownership Interest | Nov 1, 2025 | 50% |
| Managing Control - Governing Body | Nov 1, 2025 | ||
| Indirect Ownership Interest | Nov 1, 2025 | 35.75% | |
| Joseph Orgel | Indirect Ownership Interest | Nov 1, 2025 | 14% |
| CHM Mi LLC | Operational/Managerial Control | Nov 1, 2025 | |
| Adp of the SNF | Nov 1, 2025 | ||
| Trisha Zuniga | Operational/Managerial Control | Jul 1, 2025 | |
| Adp of the SNF | Jan 23, 2026 | ||
| Gitberk Trust | Adp of the SNF | Nov 1, 2025 | |
| Indirect Ownership Interest | Nov 1, 2025 | 7% | |
| Josephine Aririguzo | Operational/Managerial Control | Nov 1, 2025 | |
| Harmony Village Propco Holdco LLC | Adp of the SNF | Jan 21, 2026 | |
| Mohammad Saleh | Operational/Managerial Control | Nov 1, 2025 | |
| Adp of the SNF | Jan 23, 2026 | ||
| Beverly Hills Realty Holdings LLC | Adp of the SNF | Nov 1, 2025 | |
| JBL 120 Trust | Adp of the SNF | Nov 1, 2025 | |
| Indirect Ownership Interest | Nov 1, 2025 | 7% | |
| Indigo Michigan NH1 LLC | Adp of the SNF | Nov 1, 2025 | |
| Indirect Ownership Interest | Nov 1, 2025 | 35% | |
| Jason Dipasqua | Managing Control - Governing Body | Nov 1, 2025 | |
| Direct Ownership Interest | Nov 1, 2025 | 50% | |
| Indirect Ownership Interest | Nov 1, 2025 | 29.25% | |
| Mazel Family Trust | 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.
-
- Internal Medicine Physician
- Walled Lake, MI
- NPI 1619394004
Adp of the SNF, Operational/Managerial Control
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.
-
- Internal Medicine Physician
- Southfield, MI
- NPI 1114908209
-
- Internal Medicine Physician
- Walled Lake, MI
- NPI 1619394004
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.