Active NPI
Redford Mi Opco LLC
- Skilled Nursing Facility
- Redford, MI
National Provider Identifier
1972275592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Redford
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 1, 1967
- Medicare certification status
- Active
- Certified beds
- 88
- Chain
- The Orchards Michigan
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Isaac Gutman | 5% Or Greater Direct Ownership Interest | Nov 1, 2021 | 30% |
| Jacob Taub | 5% Or Greater Direct Ownership Interest | Nov 1, 2021 | 30% |
| Juan Lovelace | W-2 Managing Employee | Nov 1, 2021 | |
| Alexander Hoffman | 5% Or Greater Direct Ownership Interest | Nov 1, 2021 | 30% |
| Cyle Pickett | W-2 Managing Employee | Nov 1, 2021 | |
| Robert Kornfeld | 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.
-
- Internal Medicine Physician
- Troy, MI
- NPI 1457507006
-
- Internal Medicine Physician
- Livonia, MI
- NPI 1467653261
-
- Geriatric Medicine (Family Medicine) Physician
- Detroit, MI
- NPI 1740505270
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Detroit, MI
- NPI 1740505270
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.