NPI 1851691844 · live from the CMS NPI Registry
Ccla 9 LLC
Skilled Nursing Facility in Detroit, MI. National Provider Identifier 1851691844, active.
NPI record
| NPI | 1851691844 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 18300 E Warren Ave, Detroit, MI 48224 |
| Practice phone | 248-385-0559 |
| Mailing address | 17515 W 9 Mile Rd, Suite 925, Southfield, MI 48075 |
| Enumerated | October 25, 2010 |
| Last updated | January 14, 2025 |
| Authorized official | Richard Levin, Manager |
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.