NPI 1790030690 · live from the CMS NPI Registry
Ccla9, LLC
Skilled Nursing Facility in Detroit, MI. National Provider Identifier 1790030690, active.
NPI record
| NPI | 1790030690 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 7733 E Jefferson Ave, Detroit, MI 48214 |
| Practice phone | 248-385-0559 |
| Enumerated | July 17, 2012 |
| Last updated | January 14, 2025 |
| Authorized official | Tim Kamego, Director Of Operations |
| Other names | Riverview Health & Rehab Center Vent Unit |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.