NPIMap

Organization Active NPI

Kith Haven Acquisition Company, LLC

Doing business as Kith Haven

  • Skilled Nursing Facility
  • Flint, MI
National Provider Identifier
1164429221
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
KITH HAVEN ACQUISITION COMPANY, LLC
Doing business as
Kith Haven
Practice address
G1069 N Ballenger Hwy
Flint, MI 48504-4431
Phone
(810) 235-6676
Fax
(810) 235-9172
NPI assigned
Jul 5, 2005
Last updated
Sep 16, 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 16, 2026

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

Authorized official

Name
Miss Mohammad Ashraf Qazi
Title
Ceo
Phone
(248) 386-0300

Specialties & licenses 1

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

Addresses

Primary practice location

G1069 N Ballenger Hwy
Flint, MI 48504-4431

Mailing address

G1069 N Ballenger Hwy
Flint, MI 48504-4431
Phone (810) 235-6676

Other identifiers 2

IdentifierTypeStateIssuer
09672OtherMIBCBSM
4464948MedicaidMI

Other names 1

  • Kith Haven 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
O20111223000084 MI Part A Provider - Skilled Nursing Facility 4880860766 Practice locations: Flint, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164429221. Details of each certification follow.

Skilled nursing facility certification: CCN 235343

Legal name
KITH HAVEN ACQUISITION COMPANY, LLC
Doing business as
CIENA HEALTHCARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 1, 1977
Last certification
Jan 31, 2025
Beds
159
Ownership / control type
Corporation
Multi-facility organization
Ciena Healthcare
Organization structure
LLCProprietary
Incorporated
May 17, 2002 in MI
Enrollment address
G1069 N Ballenger Hwy
Flint, MI 48504-4431
Nursing home name
KITH HAVEN
Affiliated entity
CIENA HEALTHCARE/LAUREL HEALTH CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Kith HavenCCN 235343 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 1, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
159127.5 residents per day on average
Chain
Ciena Healthcare/Laurel Health Care81 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
2Fines totaling $119,506

Processed by Care Compare on Aug 1, 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 Mar 1, 2002 100%
Adp of the SNF Mar 24, 2025
Organization, Glenview, IL LLC, For-profit Adp of the SNF Mar 24, 2025
Individual Adp of the SNF Jan 3, 2003
Anis Khan Individual Operational/Managerial Control Aug 1, 2002
Managing Control - Governing BodyManager Aug 1, 2002
Adp of the SNF Aug 1, 2002
Mohammad a. Qazi Individual 5% Or Greater Indirect Ownership InterestManager Aug 1, 2022 100%
Operational/Managerial Control Aug 1, 2002
Managing Control - Governing BodyManager Aug 1, 2002
Adp of the SNF Aug 1, 2002
Mohammad a Qazi Living Trust Dated 09/26/97 Organization, West Bloomfield, MI For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 1, 2002 100%
Adp of the SNF Aug 1, 2002
Melvin Cherry Individual Operational/Managerial Control Aug 1, 2002
Adp of the SNF Mar 31, 2025
Organization, Southfield, MI LLC, For-profit Adp of the SNF Aug 1, 2002
Dana Franklin Alexander Individual Operational/Managerial Control Oct 12, 2018
Adp of the SNF Oct 12, 2018
Individual Adp of the SNF Mar 1, 2022
Organization, Taylor, MI LLC, For-profit Adp of the SNF Mar 24, 2025
Individual Adp of the SNF Dec 1, 2024
Individual Adp of the SNF Jan 17, 2022

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 76

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

View all 76

Practitioners & affiliated clinicians

Practitioners 4

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 1

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": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789516800000",
    "number": "1164429221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G1069 N BALLENGER HWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485044431",
            "telephone_number": "810-235-6676",
            "fax_number": "810-235-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G1069 N BALLENGER HWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485044431",
            "telephone_number": "810-235-6676",
            "fax_number": "810-235-9172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KITH HAVEN ACQUISITION COMPANY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CIENA HEALTHCARE MANAGEMENT, INC",
        "enumeration_date": "2005-07-05",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A",
        "authorized_official_last_name": "QAZI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "ASHRAF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-386-0300",
        "authorized_official_name_prefix": "Miss"
    },
    "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": "09672",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4464948",
            "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": "Kith Haven",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.