CCLA 6 LLC (NPI# 1902292279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902292279 |
| Entity Type | Organization |
| Organization Name | CCLA 6 LLC |
| Practice Address |
900 Cook Rd Grosse Pointe Woods MI 48236-2739 |
| Practice Telephone | 1313885500 |
| Practice Fax Number | 1313884272 |
| Mailing Telephone | 1313885500 |
| Mailing Fax Number | 1313884272 |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2015-09-14 |
| Authorized Official Name | MR. TIM M KAMEGO SR. (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 5867708017 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Street Address |
900 COOK RD |
| City | GROSSE POINTE WOODS |
| State | MI |
| Zip Code | 48236-2739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407939010 | Childrens's Home of Detroit | Residential Treatment Facility, Emotionally Disturbed Children | 900 Cook Rd, Grosse Pointe Woods, MI 48236-2713 | 2006-10-24 |
| 1518564038 | Pamela Miller | Speech-Language Pathologist | 900 Cook Rd, Grosse Pointe Woods, MI 48236-2739 | 2020-10-07 |
| 1912563925 | Melissa Ann O'keefe | Speech-Language Pathologist | 900 Cook Rd, Grosse Pointe Woods, MI 48236-2739 | 2019-05-15 |
| 1891273645 | Tonya Maria Omozokpia | Occupational Therapist | 900 Cook Rd, Grosse Pointe Woods, MI 48236-2739 | 2018-08-03 |
| 1366920365 | Alyssa Cullen | Occupational Therapist | 900 Cook Rd, Grosse Pointe Woods, MI 48236-2739 | 2018-08-01 |
| 1023596046 | Joclyn Tereese Richardson | Occupational Therapist | 900 Cook Rd, Grosse Pointe Woods, MI 48236-2739 | 2018-08-01 |
| 1992282685 | Alicia Joan Porter | Physical Medicine & Rehabilitation | 900 Cook Rd, Grosse Pointe Woods, MI 48236-2739 | 2018-07-25 |
| 1063916344 | Joseph Jijo Jacob | Physical Therapist | 900 Cook Rd, Grosse Pointe Woods, MI 48236-2739 | 2018-03-21 |
| 1689830770 | Sandra Kluk | Social Worker | 900 Cook Rd, Grosse Pointe Woods, MI 48236-2713 | 2008-07-29 |
| 1295995496 | Paul Babcock | Physical Therapist | 900 Cook Rd, Grosse Pointe Woods, MI 48236-2739 | 2008-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323966 | Khairya Fatouh | Pathology | 22101 Morros Road, Pathology Department, Detroit, Detroit, MI 48236 | 2020-07-16 |
| 1134744998 | Harish Harry Gidda | Internal Medicine | 22201 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-06-08 |
| 1770107443 | Arshan Ali Khan | Internal Medicine | 22101 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-05-29 |
| 1750901658 | Annika Van Wieren | Emergency Medicine | 22101 Moross Road, Emergency Department, Detroit, MI 48236 | 2020-04-21 |
| 1801449483 | Ishaq Azeem Asghar | Student in an Organized Health Care Education/Training Program | 22101 Moross Road, Pathology Department, Detroit, MI 48236 | 2019-07-22 |
| 1295290443 | Ascension St. John Hospital | Dietitian, Registered | 22201 Moross, Ste. 270, Detriot, MI 48236 | 2019-02-01 |
| 1548747413 | Abiodun Adenuga Adefarasin | Pharmacist | 20746 Mack Avenue, Gross Pointe Woods, MI 48236 | 2018-07-24 |
| 1629564042 | Hamza H Khan | Student in an Organized Health Care Education/Training Program | 22201 Moross, Professional Building 2, Suite 70, Detroit, MI 48236 | 2018-07-09 |
| 1235631664 | David Lee Williams | Physical Therapist | 159 Kercheval Avenue, Grosse Pointe Farms, MI 48236 | 2018-03-01 |
| 1164979720 | Memphie Morgan | Licensed Practical Nurse | 91527 Cheshire St., Grosse Pointe, MI 48236 | 2016-09-01 |
| Find all providers in zip 48236 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952341786 | Heartland - Georgian East of Grosse Point Mi LLC | Skilled Nursing Facility | 21401 Mack Ave, Grosse Pointe Woods, MI 48236-1048 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538798731 | Windemere Park of Troy Operations LLC | Skilled Nursing Facility | 5990 N Adams Rd, Troy, MI 48098-2377 | 2020-04-08 |
| 1982235396 | Berg-lahser Snf, LLC | Skilled Nursing Facility | 21630 Hessel Ave # 1230, Detroit, MI 48219-1230 | 2020-02-04 |
| 1508497918 | Harmony Village Snf, LLC | Skilled Nursing Facility | 16588 Schaefer Hwy # 4249, Detroit, MI 48235-4249 | 2020-02-04 |
| 1336795244 | Ishpeming Nursing & Rehab Center, LLC | Skilled Nursing Facility | 435 Rd Pl, Ishpeming, MI 49849 | 2019-08-15 |
| 1669965299 | Wellbridge of Clarkston, LLC | Skilled Nursing Facility | 5655 Clarkston Road, Independence Township, MI 48348 | 2018-06-08 |
| 1104318112 | Wellbridge At Genesys Health Park, LLC | Skilled Nursing Facility | 3139 East Baldwin Road, Grand Blanc, MI 48439 | 2018-06-05 |
| 1427549955 | Mission Point of Detroit, LLC | Skilled Nursing Facility | 2102 Orleans, Detroit, MI 48207 | 2018-05-21 |
| 1912496324 | Regency At Independence Township, LLC | Skilled Nursing Facility | 6211 Stonewood Drive, Clarkston, MI 48346 | 2018-05-02 |
| 1972092344 | Regency At Grand Haven, LLC | Skilled Nursing Facility | 17049 Comstock St, Grand Haven, MI 49417-7903 | 2018-05-01 |
| 1093214173 | Sana Nasir Inc. | Skilled Nursing Facility | 13840 King Rd, Riverview, MI 48193 | 2018-02-05 |
| Find all providers with the same taxonomy | ||||
| City | GROSSE POINTE WOODS |
| Zip Code | 48236 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.