Organization Active NPI

Clinton Opco LLC

  • Skilled Nursing Facility
  • Clinton TWP, MI
National Provider Identifier
1962379081
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CLINTON OPCO LLC
Practice address
17001 17 Mile Rd
Clinton TWP, MI 48038-2801
Phone
(586) 286-7100
Fax
(586) 286-0802
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 Primary

Addresses

Primary practice location

17001 17 Mile Rd
Clinton TWP, MI 48038-2801

Mailing address

17001 17 Mile Rd
Clinton TWP, MI 48038-2801
Phone (586) 286-7100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260306000928 MI Part A Provider - Skilled Nursing Facility 8729560842 Practice locations: Clinton Township, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962379081. Details of each certification follow.

Skilled nursing facility certification: CCN 235405

Legal name
CLINTON OPCO LLC
Doing business as
HARMONY VILLAGE OF CLINTON
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 1, 1980
Last certification
Jun 4, 2025
Beds
127
Ownership / control type
Corporation
Multi-facility organization
Mission Point
Most recent change of ownership
Nov 1, 2025
Organization structure
LLCProprietary
Enrollment address
17001 17 Mile Road
Clinton Township, MI 48038-2801
Nursing home name
HARMONY VILLAGE OF CLINTON
Affiliated entity
CERTUS HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Harmony Village of ClintonCCN 235405 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Feb 1, 1980
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12775.6 residents per day on average
Chain
Certus Healthcare14 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
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
23D0363871Clinton Opco LLC17001 17 Mile Road, Clinton Township, MI 48038Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 17

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 Direct Ownership Interest Nov 1, 2025 100%
Shmuel Fishman Individual 5% Or Greater Indirect Ownership Interest Nov 1, 2025 35.75%
Corporate OfficerPresident Nov 1, 2025
Adp of the SNF Nov 1, 2025
Joseph Orgel Individual 5% Or Greater Indirect Ownership Interest Nov 1, 2025 14%
Adp of the SNF Nov 1, 2025
CHM Mi LLC Organization, Cleveland, OH LLC, Management services company Operational/Managerial Control Nov 1, 2025
Adp of the SNF Nov 1, 2025
Ebony Butler Individual Operational/Managerial Control Nov 1, 2025
Gitberk Trust Organization, Brooklyn, NY Adp of the SNF Nov 1, 2025
Indirect Ownership Interest Nov 1, 2025 7%
Gitberk LLC Organization, Brooklyn, NY LLC, Holding company Adp of the SNF Nov 1, 2025
Indirect Ownership Interest Nov 1, 2025 7%
Harmony Village Propco Holdco LLC Organization, Cleveland, OH LLC, Holding company Adp of the SNF Nov 1, 2025
Mohammad Saleh Individual Operational/Managerial Control Nov 1, 2025
Adp of the SNF Jun 23, 2026
JBL 120 Trust Organization, Brooklyn, NY 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 5% Or Greater Direct Ownership Interest Nov 1, 2025 29.25%
Adp of the SNF Nov 1, 2025
Mazel Family Trust Organization, Brooklyn, NY Adp of the SNF Nov 1, 2025
Indirect Ownership Interest Nov 1, 2025 7%
JBL 120 LLC Organization, Brooklyn, NY LLC, Holding company Adp of the SNF Nov 1, 2025
Indirect Ownership Interest Nov 1, 2025 7%
Clinton Realty Holdings LLC Organization, Lincolnwood, IL LLC Adp of the SNF Nov 1, 2025
Shayla Yopp-Carter Individual Operational/Managerial Control Nov 1, 2025
Adp of the SNF Jun 23, 2026

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

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": "1962379081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17001 17 MILE RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480382801",
            "telephone_number": "586-286-7100",
            "fax_number": "586-286-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17001 17 MILE RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480382801",
            "telephone_number": "586-286-7100",
            "fax_number": "586-286-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON 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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

Verify at the official NPI Registry.