NPIMap

Organization Active NPI

Moroun Nursing Center of Detroit, LLC

Doing business as Ambassador Nursing & Rehab Center

  • Skilled Nursing Facility
  • Detroit, MI
National Provider Identifier
1770812281
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
834650 Issued in MI
Legal business name
MOROUN NURSING CENTER OF DETROIT, LLC
Doing business as
Ambassador Nursing & Rehab Center
Ambassador a Villa Center
Practice address
8045 E Jefferson Ave
Detroit, MI 48214-2627
Phone
(313) 821-3525
Fax
(313) 821-3544
NPI assigned
Dec 11, 2009
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 834650 MI Primary

Addresses

Primary practice location

8045 E Jefferson Ave
Detroit, MI 48214-2627

Mailing address

8045 E Jefferson Ave
Detroit, MI 48214-2627
Phone (313) 821-3525

Other names 2

  • Ambassador Nursing & Rehab Center Doing business as
  • Ambassador a Villa 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 IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100218000511 IL Part A Provider - Skilled Nursing Facility 3678617354 Practice locations: Detroit, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770812281. Details of each certification follow.

Skilled nursing facility certification: CCN 235102

Legal name
MOROUN NURSING CENTER OF DETROIT, LLC
Doing business as
AMBASSADOR, A VILLA CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 6, 1967
Last certification
Sep 27, 2024
Beds
176
Ownership / control type
Partnership
Multi-facility organization
Omnia Healthcare Group
Organization structure
LLCProprietary
Incorporated
May 11, 2009 in MI
Enrollment address
8045 E Jefferson Ave
Detroit, MI 48214-2627
Nursing home name
AMBASSADOR, A VILLA CENTER
Affiliated entity
VILLA HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Ambassador, A Villa CenterCCN 235102 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Partnership
Certified
Jan 6, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
176165.1 residents per day on average
Chain
Villa Healthcare18 facilities in the chain

Processed by Care Compare on Aug 1, 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
Israel Family Investment Trust Organization, Lincolnwood, IL Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2023 6.5%
Ab Investment Trust U/a/D 01/03/23 Organization, Chicago, IL Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2023 13%
Todd a Stern Individual Trustee of the SNF Jul 1, 2023
Henry C Conerway Individual Operational/Managerial Control Sep 3, 2024
Adp of the SNF Sep 3, 2024
Yehoshua Baumol Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2023 27%
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 Feb 17, 2025
Todd a Stern 2015 Irrv Ins TR Organization, Skokie, IL Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2023 12%
Gabriel Kroll Individual Indirect Ownership Interest Jul 1, 2023 1%
Israel Investment TR Organization, Lincolnwood, IL Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2023 6.5%
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 Operational/Managerial Control Feb 17, 2025
Aaron Family Investment Trust Organization, Northbrook, IL Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2023 31%
Steven Nagel Individual Indirect Ownership Interest Jul 1, 2023 2%
Menachem Berger Individual Trustee of the SNF 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 35

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

View all 35

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": "1260489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1770812281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8045 E JEFFERSON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482142627",
            "telephone_number": "313-821-3525",
            "fax_number": "313-821-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8045 E JEFFERSON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482142627",
            "telephone_number": "313-821-3525",
            "fax_number": "313-821-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOROUN NURSING CENTER OF DETROIT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-11",
        "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": "MI",
            "license": "834650",
            "primary": true
        }
    ],
    "identifiers": [],
    "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": "Ambassador Nursing & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ambassador Nursing & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ambassador a Villa Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.