NPIMap

Organization Active NPI

Shelby Township Care Center, LLC

Doing business as Regency at Shelby Township

  • Skilled Nursing Facility
  • Shelby Township, MI
National Provider Identifier
1043647167
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SHELBY TOWNSHIP CARE CENTER, LLC
Doing business as
Regency at Shelby Township
Practice address
7401 22 Mile Road
Shelby Township, MI 48317
Phone
(248) 386-0300
NPI assigned
Oct 3, 2013
Last updated
Sep 15, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CIENA HEALTHCARE MANAGEMENT, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mohamed A Qazi
Title
Ceo/President
Phone
(248) 386-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

7401 22 Mile Road
Shelby Township, MI 48317

Mailing address

7401 22 Mile Road
Shelby Township, MI 48317

Other identifiers 1

IdentifierTypeStateIssuer
S8980OtherMIBCBSM

Other names 1

  • Regency at Shelby Township Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150302001377 MI Part A Provider - Skilled Nursing Facility 9931425311 Practice locations: Shelby Township, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043647167. Details of each certification follow.

Skilled nursing facility certification: CCN 235710

Legal name
SHELBY TOWNSHIP CARE CENTER, LLC
Doing business as
REGENCY AT SHELBY TOWNSHIP
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 12, 2015
Last certification
Sep 12, 2024
Beds
116
Ownership / control type
Corporation
Multi-facility organization
Ciena Healthcare Management
Organization structure
LLCProprietary
Incorporated
Sep 16, 2011 in MI
Enrollment address
7401 22 Mile Rd
Shelby Township, MI 48317-2307
Nursing home name
REGENCY AT SHELBY TOWNSHIP
Affiliated entity
CIENA HEALTHCARE/LAUREL HEALTH CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Regency at Shelby TownshipCCN 235710 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Nov 12, 2015
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
116109.8 residents per day on average
Chain
Ciena Healthcare/Laurel Health Care81 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2086554Regency at Shelby Township7401 22 Mile Road, Shelby Township, MI 48317Certificate of waiverNov 5, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ciena Healthcare Management Inc Organization, Southfield, MI Corporation, Management services company, For-profit, Chain home office Operational/Managerial Control Nov 12, 2015
Adp of the SNF Mar 25, 2025
Individual Adp of the SNF Jan 17, 2022
Anis Khan Individual Operational/Managerial Control Nov 12, 2015
Managing Control - Governing BodyManager Nov 12, 2015
Adp of the SNF Nov 12, 2015
Individual Adp of the SNF Nov 12, 2015
Malaz Alatassi Individual Adp of the SNF Jan 1, 2025
Individual Adp of the SNF Mar 1, 2022
Mohammad a. Qazi Individual Operational/Managerial Control Nov 12, 2015
Managing Control - Governing BodyManager Nov 12, 2015
Indirect Ownership Interest Jun 30, 2022 100%
Organization, Southfield, MI For-profit Adp of the SNF Nov 12, 2015
Neal H Deutsch Individual Adp of the SNF Sep 7, 2015
Mohammad a Qazi Living Trust Dated 09/26/97 Organization, West Bloomfield, MI Owned by another organization or individual Indirect Ownership Interest Jun 30, 2022 100%
Organization, Glenview, IL LLC, For-profit Adp of the SNF Mar 25, 2025
Organization, Taylor, MI LLC, For-profit Adp of the SNF Mar 25, 2025
Mohammad Qazi 2022 Children's Trust Uad 5-4-2022 Organization, West Bloomfield, MI Adp of the SNF Jun 30, 2022
Ciena Michigan Operations Group LLC Organization, Southfield, MI LLC, Holding company, For-profit, Owned by another organization or individual Direct Ownership Interest Jun 30, 2022 100%
Individual Adp of the SNF Dec 1, 2024
Anna Gardina Individual Adp of the SNF Sep 7, 2015
Rebecca Maze Individual Operational/Managerial Control Jan 26, 2015
Adp of the SNF Jan 26, 2015

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 47

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 47

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1043647167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 22 MILE ROAD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "48317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 22 MILE ROAD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "48317",
            "telephone_number": "248-386-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY TOWNSHIP CARE CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CIENA HEALTHCARE MANAGEMENT, INC",
        "enumeration_date": "2013-10-03",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "QAZI",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "248-386-0300"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "S8980",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "affiliationName": "Ability Network Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd SteB",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Regency at Shelby Township",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelby Township, MI

Sources for this page

Verify at the official NPI Registry.