Organization Active NPI

Redford Mi Opco LLC

  • Skilled Nursing Facility
  • Redford, MI
National Provider Identifier
1972275592
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
REDFORD MI OPCO LLC
Practice address
25330 W 6 Mile Rd
Redford, MI 48240-2105
Phone
(718) 838-1501
NPI assigned
Oct 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Authorized official

Name
Rob Korn
Title
Manager
Phone
(718) 838-1501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

25330 W 6 Mile Rd
Redford, MI 48240-2105

Mailing address

362 E Kennedy Blvd
Lakewood, NJ 08701-1434

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211025002283 MI Part A Provider - Skilled Nursing Facility 7416345434 Practice locations: Redford, MI

Skilled nursing facility certification: CCN 235014

Legal name
REDFORD MI OPCO LLC
Doing business as
THE ORCHARDS AT REDFORD
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jan 1, 1967
Last certification
Apr 2, 2025
Beds
88
Ownership / control type
Corporation
Multi-facility organization
The Orchards Michigan
Organization structure
LLCProprietary
Incorporated
Jul 20, 2021 in MI
Enrollment address
25330 W 6 Mile Rd
Redford, MI 48240-2105
Nursing home name
THE ORCHARDS AT REDFORD
Affiliated entity
THE ORCHARDS MICHIGAN

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Orchards at RedfordCCN 235014
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8874.9 residents per day on average
Chain
The Orchards Michigan15 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 6

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

NameRoleSinceShare
Isaac Gutman Individual 5% Or Greater Direct Ownership Interest Nov 1, 2021 30%
Jacob Taub Individual 5% Or Greater Direct Ownership Interest Nov 1, 2021 30%
Juan Lovelace Individual W-2 Managing EmployeeDirector of Nursing Nov 1, 2021
Alexander Hoffman Individual 5% Or Greater Direct Ownership Interest Nov 1, 2021 30%
Cyle Pickett Individual W-2 Managing EmployeeAdministrator Nov 1, 2021
Robert Kornfeld Individual 5% Or Greater Direct Ownership Interest Nov 1, 2021 10%

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1633046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1972275592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 E KENNEDY BLVD",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25330 W 6 MILE RD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482402105",
            "telephone_number": "718-838-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDFORD MI OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-01",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "KORN",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-838-1501"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redford, MI

Sources for this page

Verify at the official NPI Registry.