Organization Active NPI

Eaton Care Center, LLC

Doing business as Regency at Lansing West

  • Skilled Nursing Facility
  • Lansing, MI
National Provider Identifier
1144658659
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
EATON CARE CENTER, LLC
Doing business as
Regency at Lansing West
Practice address
12200 Broadbent
Lansing, MI 48917
Phone
(248) 386-0300
NPI assigned
Oct 18, 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 Primary

Addresses

Primary practice location

12200 Broadbent
Lansing, MI 48917

Mailing address

12200 Broadbent
Lansing, MI 48917

Other identifiers 1

IdentifierTypeStateIssuer
S8943OtherBCBSM

Other names 1

  • Regency at Lansing West 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
O20150122001691 MI Part A Provider - Skilled Nursing Facility 1254655251 Practice locations: Lansing, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144658659. Details of each certification follow.

Skilled nursing facility certification: CCN 235706

Legal name
EATON CARE CENTER, LLC
Doing business as
REGENCY AT LANSING WEST
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 2, 2015
Last certification
Jul 26, 2024
Beds
120
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Ciena Healthcare
Organization structure
LLCProprietary
Enrollment address
12200 Broadbent Rd
Lansing, MI 48917-9706
Nursing home name
REGENCY AT LANSING WEST
Affiliated entity
CIENA HEALTHCARE/LAUREL HEALTH CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Regency at Lansing WestCCN 235706 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 2, 2015
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120107.0 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
23D2086553Regency at Lansing West12200 Broadbent, Lansing, MI 48917Certificate of waiverNov 5, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 13

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 Sep 2, 2015
Adp of the SNF Mar 24, 2025
Matthew Brzak Individual Operational/Managerial Control Jan 24, 2022
Adp of the SNF Mar 24, 2025
Individual Adp of the SNF Dec 1, 2024
Organization, Glenview, IL LLC, For-profit Adp of the SNF Mar 24, 2025
Anis Khan Individual Operational/Managerial Control Sep 2, 2015
Managing Control - Governing BodyManager Sep 2, 2015
Adp of the SNF Sep 2, 2015
Individual Adp of the SNF Sep 2, 2015
Eaton Senior Leasing, LLC Organization, Southfield, MI LLC, For-profit Adp of the SNF Sep 2, 2015
Mohammad a. Qazi Individual Operational/Managerial Control Sep 2, 2015
Managing Control - Governing BodyManager Sep 2, 2015
Adp of the SNF Sep 2, 2015
Indirect Ownership Interest Sep 2, 2015 100%
Mohammad a Qazi Living Trust Dated 09/26/97 Organization, West Bloomfield, MI For-profit Adp of the SNF Sep 2, 2015
Direct Ownership Interest Sep 2, 2015 100%
Michael a Amlog Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Individual Adp of the SNF Jan 17, 2022
Individual Adp of the SNF Mar 1, 2022
Organization, Taylor, MI LLC, For-profit Adp of the SNF Mar 24, 2025

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 7

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 2

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": "1382054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1144658659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 BROADBENT",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 BROADBENT",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48917",
            "telephone_number": "248-386-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EATON CARE CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CIENA HEALTHCARE MANAGEMENT, INC",
        "enumeration_date": "2013-10-18",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "S8943",
            "state": null
        }
    ],
    "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 Lansing West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.