Active NPI
Superior Woods Opco LLC
- Skilled Nursing Facility
- Ypsilanti, MI
National Provider Identifier
1750255121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- SUPERIOR WOODS OPCO LLC
- Practice address
- 8380 Geddes Rd
Ypsilanti, MI 48198-9404 - Phone
- (734) 547-7600
- Fax
- (734) 487-1627
- NPI assigned
- Sep 30, 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 | Primary |
Addresses
Primary practice location
8380 Geddes Rd
Ypsilanti, MI 48198-9404
Mailing address
3701 W Lunt Ave
Lincolnwood, IL 60712-2615
Phone (224) 470-2044
Other names 1
- Villa at Willow Place
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other |
National Provider Directory
National Provider Directory- Tax ID family
- Superior Woods Opco LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Ypsilanti, MI
- NPI 1831019041
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Assisted Living Facility
- Ypsilanti, MI
- NPI 1831019041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787788800000",
"number": "1750255121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 W LUNT AVE",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607122615",
"telephone_number": "224-470-2044",
"fax_number": "224-470-2952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8380 GEDDES RD",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481989404",
"telephone_number": "734-547-7600",
"fax_number": "734-487-1627"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPERIOR WOODS OPCO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-30",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"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": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
"affiliation": "N",
"endpointDescription": "2.16.840.1.113883.3.1066.1",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8380 Geddes Rd",
"city": "Ypsilanti",
"state": "MI",
"country_code": "US",
"postal_code": "481989404",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Villa at Willow Place",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.