_id ENROLLMENT ID ENROLLMENT STATE PROVIDER TYPE CODE PROVIDER TYPE TEXT NPI MULTIPLE NPI FLAG CCN ASSOCIATE ID ORGANIZATION NAME DOING BUSINESS AS NAME INCORPORATION DATE INCORPORATION STATE ORGANIZATION TYPE STRUCTURE ORGANIZATION OTHER TYPE TEXT PROPRIETARY_NONPROFIT NURSING HOME PROVIDER NAME AFFILIATION ENTITY NAME AFFILIATION ENTITY ID ADDRESS LINE 1 ADDRESS LINE 2 CITY STATE ZIP CODE 1 O20030219000003 MI 00-18 PART A PROVIDER - SKILLED NURSING FACILITY 1629075023 N 235422 2365351939 EASTWOOD CONVALESCENT CENTER INC. REGENCY AT CHENE 1996-06-24T00:00:00 MI CORPORATION "" P REGENCY AT CHENE CIENA HEALTHCARE/LAUREL HEALTH CARE 144 2295 E VERNOR HWY "" DETROIT MI 482073308 2 O20030219000004 MI 00-18 PART A PROVIDER - SKILLED NURSING FACILITY 1972500213 N 235452 446169916 ABBA CARE CORPORATION REGENCY HEIGHTS - DETROIT 1982-05-17T00:00:00 MI CORPORATION "" P REGENCY HEIGHTS-DETROIT CIENA HEALTHCARE/LAUREL HEALTH CARE 144 19100 W 7 MILE RD "" DETROIT MI 482192758 3 O20031124000066 MI 00-18 PART A PROVIDER - SKILLED NURSING FACILITY 1720081094 N 235475 42123937 NORTHWEST PARTNERS, LLC BEACONSHIRE NURSING CENTRE 2003-08-01T00:00:00 MI LLC "" P BEACONSHIRE NURSING CENTRE "" 21630 HESSEL AVE "" DETROIT MI 482191230 4 O20040318001173 MI 00-18 PART A PROVIDER - SKILLED NURSING FACILITY 1265439590 Y 235500 6709776115 G & K MANAGEMENT SERVICES INC OMNI CONTINUING CARE 1982-12-29T00:00:00 MI CORPORATION "" P OMNI CONTINUING CARE CIENA HEALTHCARE/LAUREL HEALTH CARE 144 5201 CONNER ST "" DETROIT MI 482133405 5 O20040818000657 MI 00-18 PART A PROVIDER - SKILLED NURSING FACILITY 1477550564 N 235177 7911981857 OUTER DRIVE PARTNERS LLC HARTFORD NURSING & REHABILITATION CENTER 2003-10-22T00:00:00 MI LLC "" P HARTFORD NURSING & REHABILITATION CENTER CIENA HEALTHCARE/LAUREL HEALTH CARE 144 6700 W OUTER DR "" DETROIT MI 482352724 6 O20050224000315 MI 00-18 PART A PROVIDER - SKILLED NURSING FACILITY 1821148248 N 235207 9638122112 OAKPOINTE SENIOR CARE AND REHAB CENTER, LLC OAKPOINTE SENIOR CARE AND REHAB CENTER 2004-06-23T00:00:00 MI LLC "" P OAKPOINTE SENIOR CARE AND REHAB CENTER NEXCARE HEALTH SYSTEMS 369 18901 MEYERS RD "" DETROIT MI 482351366 7 O20050224000440 MI 00-18 PART A PROVIDER - SKILLED NURSING FACILITY 1750431276 N 235445 2961455456 FAIRLANE SENIOR CARE AND REHAB CENTER, LLC FAIRLANE SENIOR CARE AND REHAB CENTER 2004-06-23T00:00:00 MI LLC "" P FAIRLANE SENIOR CARE AND REHAB CENTER NEXCARE HEALTH SYSTEMS 369 15750 JOY ROAD "" DETROIT MI 482282196 8 O20050719000981 MI 00-18 PART A PROVIDER - SKILLED NURSING FACILITY 1013926443 N 235374 8628005899 WEST OAKS SENIOR CARE AND REHAB CENTER, LLC WEST OAKS SENIOR CARE AND REHAB CENTER LLC 2008-04-02T00:00:00 MI LLC "" P WEST OAKS SENIOR CARE & REHAB CENTER NEXCARE HEALTH SYSTEMS 369 22355 W EIGHT MILE ROAD "" DETROIT MI 482191217 9 O20051017000410 MI 00-18 PART A PROVIDER - SKILLED NURSING FACILITY 1215934542 N 235492 7315963626 MADONNA ACQUISITION COMPANY INC. SHEFFIELD MANOR NURSING AND REHAB CENTER 2000-07-31T00:00:00 MI CORPORATION "" P SHEFFIELD MANOR NURSING & REHAB CENTER CIENA HEALTHCARE/LAUREL HEALTH CARE 144 15311 SCHAEFER HWY "" DETROIT MI 482273374 10 O20061030000337 MI 00-18 PART A PROVIDER - SKILLED NURSING FACILITY 1700883030 N 235622 6800893199 ARISTA MANAGEMENT, INC. QUALICARE NURSING HOME 1994-03-24T00:00:00 MI CORPORATION "" P QUALICARE NURSING HOME CIENA HEALTHCARE/LAUREL HEALTH CARE 144 695E GRAND BLVD "" DETROIT MI 482072525 11 O20091221000061 MI 00-18 PART A PROVIDER - SKILLED NURSING FACILITY 1538164843 N 235444 5193865301 METRO MAN I INC WESTWOOD NURSING CENTER 1996-06-25T00:00:00 MI CORPORATION "" P WESTWOOD NURSING CENTER "" 16588 SCHAEFER HWY "" DETROIT MI 482354249 12 O20100127000437 MI 00-18 PART A PROVIDER - SKILLED NURSING FACILITY 1689805970 N 235498 6305991779 BOULEVARD TEMPLE CARE CENTER, LLC BOULEVARD TEMPLE CARE CENTER 2009-05-11T00:00:00 MI LLC "" P BOULEVARD TEMPLE CARE CENTER, LLC CIENA HEALTHCARE/LAUREL HEALTH CARE 144 2567 W GRAND BLVD "" DETROIT MI 482081235 13 O20100218000511 IL 00-18 PART A PROVIDER - SKILLED NURSING FACILITY 1770812281 N 235102 3678617354 MOROUN NURSING CENTER OF DETROIT, LLC AMBASSADOR, A VILLA CENTER 2009-05-11T00:00:00 MI LLC "" P AMBASSADOR, A VILLA CENTER VILLA HEALTHCARE 550 8045 E JEFFERSON AVE "" DETROIT MI 482142627 14 O20110315000604 MI 00-18 PART A PROVIDER - SKILLED NURSING FACILITY 1851691844 N 235476 3476735200 CCLA 9 LLC RIVERVIEW HEALTH AND REHAB CENTER 2009-09-12T00:00:00 MI LLC "" P RIVERVIEW HEALTH AND REHAB CENTER NORTH "" 18300E WARREN AVE "" DETROIT MI 482241343 15 O20120110000675 MI 00-18 PART A PROVIDER - SKILLED NURSING FACILITY 1134121353 N 235382 4587830757 HAMILTON NURSING HOME INC. HAMILTON NURSING CENTER, INC. 1964-09-28T00:00:00 MI CORPORATION "" P HAMILTON NURSING HOME PRIORITY HEALTHCARE GROUP 424 590E GRAND BLVD "" DETROIT MI 482073534 16 O20120117000189 WI 00-18 PART A PROVIDER - SKILLED NURSING FACILITY 1295018745 N 235659 3476735200 CCLA 9 LLC RIVERVIEW HEALTH & REHAB CENTER 2009-09-12T00:00:00 MI LLC "" P RIVERVIEW HEALTH & REHAB CENTER "" 7733 E JEFFERSON AVE "" DETROIT MI 482143707 17 O20121217000275 MI 00-18 PART A PROVIDER - SKILLED NURSING FACILITY 1164772646 N 235234 4284886482 HERITAGE MANOR NURSING & REHAB CENTER HERITAGE MANOR NURSING & REHAB CENTER 2012-05-30T00:00:00 MI LLC "" P HERITAGE MANOR NURSING AND REHAB CENTER PIONEER HEALTHCARE MANAGEMENT 403 9500 GRAND RIVER AVE "" DETROIT MI 482042132 18 O20160303001754 MI 00-18 PART A PROVIDER - SKILLED NURSING FACILITY 1144600222 N 235402 5496051286 REDFORD OPCO LLC THE VILLA AT GREAT LAKES CROSSING 2015-03-30T00:00:00 MI LLC "" P THE VILLA AT GREAT LAKES CROSSING VILLA HEALTHCARE 550 22811 W 7 MILE RD "" DETROIT MI 482191739 19 O20180618000669 MI 00-18 PART A PROVIDER - SKILLED NURSING FACILITY 1427549955 N 235595 8426303397 MISSION POINT OF DETROIT LLC MISSION POINT NURSING & PHYSICAL REHABILITATION CENTER OF DETROIT "" LLC "" P MISSION POINT NSG & PHYSICAL REHAB CTR OF DETROIT MISSION POINT HEALTHCARE SERVICES 356 2102 ORLEANS ST "" DETROIT MI 482072769 20 O20201230000694 MI 00-18 PART A PROVIDER - SKILLED NURSING FACILITY 1629676085 N 235454 7315350824 MISSION POINT OF ELMWOOD LLC MISSION POINT NURSING & PHYSICAL REHABILITATION CENTER OF ELMWOOD 2019-10-25T00:00:00 MI LLC "" P MISSION POINT NSG & PHY REHAB CTR OF ELMWOOD MISSION POINT HEALTHCARE SERVICES 356 1881 E GRAND BLVD "" DETROIT MI 482113041 21 O20210105000614 MI 00-18 PART A PROVIDER - SKILLED NURSING FACILITY 1558969915 N 235468 1759794118 MISSION POINT OF WOODWARD LLC MISSION POINT NURSING & PHYSICAL REHABILITATION CENTER OF WOODWARD 2019-10-25T00:00:00 MI LLC "" P MISSION POINT NSG & PHY REHAB CTR OF WOODWARD MISSION POINT HEALTHCARE SERVICES 356 9146 WOODWARD AVE "" DETROIT MI 482021612 22 O20211025000927 MI 00-18 PART A PROVIDER - SKILLED NURSING FACILITY 1013689637 N 235632 5991193989 SAMARITAN MI OPCO LLC THE ORCHARDS AT SAMARITAN 2021-07-20T00:00:00 MI LLC "" P THE ORCHARDS AT SAMARITAN THE ORCHARDS MICHIGAN 513 5555 CONNER ST FL 4 DETROIT MI 482133828 23 O20220630002902 MI 00-18 PART A PROVIDER - SKILLED NURSING FACILITY 1528730132 N 235539 5395125769 NORTHWEST MI OPCO LLC THE ORCHARDS AT NORTHWEST 2021-07-20T00:00:00 MI LLC "" P THE ORCHARDS AT NORTHWEST THE ORCHARDS MICHIGAN 513 16181 HUBBELL ST "" DETROIT MI 482354026 24 O20030605000019 MN 00-18 PART A PROVIDER - SKILLED NURSING FACILITY 1215088521 N 245489 5890602882 ECUMEN EMMANUEL NURSING HOME 1923-11-30T00:00:00 MN CORPORATION "" N EMMANUEL NURSING HOME ECUMEN 696 1415 MADISON AVE "" DETROIT LAKES MN 565014542 25 O20060328000588 MN 00-18 PART A PROVIDER - SKILLED NURSING FACILITY 1578553160 N 245212 2062326820 ST MARYS REGIONAL HEALTH CENTER ESSENTIA HEALTH - OAK CROSSING 1989-05-11T00:00:00 MN CORPORATION "" N ESSENTIA HEALTH OAK CROSSING "" 1040 LINCOLN AVE "" DETROIT LAKES MN 565013508