Oakland Manor Nursing & Rehab Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

OAKLAND MANOR NURSING & REHAB CENTER LLC

Practice address

50 N Perry St
1St Floor East Tower
Pontiac, MI 48342-2217

Phone

(248) 221-5300

Fax

(248) 593-9120

NPI assigned

Aug 14, 2014

Last updated

Jun 29, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fahim Uddin

Title

Member

Phone

(248) 593-1990

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215336383. Details of each certification follow.

• CCN 235703 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 235703

Legal name

OAKLAND MANOR NURSING & REHAB CENTER LLC

Doing business as

OAKLAND MANOR NURSING & REHAB CENTER LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

May 1, 2015

Last certification

Oct 30, 2024

Beds

29

Ownership / control type

Corporation

Multi-facility organization

Legacy Healthcare Management

Organization structure

LLCProprietary

Incorporated

Jan 25, 2013 in MI

Enrollment address

50N Perry St 1
Pontiac, MI 48342-2217

Nursing home name

OAKLAND MANOR NURSING AND REHABILITATION CENTER LLC

Affiliated entity

PIONEER HEALTHCARE MANAGEMENT

Listed as

Oakland Manor Nursing and Rehabilitation Center LLCCN 235703 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

3 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

May 1, 2015

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

2917.0 residents per day on average

Chain

Pioneer Healthcare Management9 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

Tax ID family

Oakland Manor Nursing Rehab Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Oakland Manor Skilled Nursing and Sub-Ac

  • Skilled Nursing Facility
  • Bingham Farms, MI
  • NPI 1366807133
  NPD tax ID

Locations

All disclosed owners & managing parties 2

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

Practitioners 2

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.

• Ali A Jishi, MD

  • Internal Medicine Physician
  • Garden City, MI
  • NPI 1922673342
  NPD (past)
• John S Zazaian, DO

  • Internal Medicine Physician
  • Waterford, MI
  • NPI 1871581934
  NPD (past)

Affiliated clinicians 1

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

• Ali A Jishi, MD

  • Internal Medicine Physician
  • Garden City, MI
  • NPI 1922673342

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435536000000",
    "number": "1215336383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N PERRY ST",
            "address_2": "# 1",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422217",
            "telephone_number": "248-221-5300",
            "fax_number": "248-593-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N PERRY ST",
            "address_2": "1ST FLOOR EAST TOWER",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422217",
            "telephone_number": "248-221-5300",
            "fax_number": "248-593-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND MANOR NURSING & REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2015-06-29",
        "status": "A",
        "authorized_official_last_name": "UDDIN",
        "authorized_official_first_name": "FAHIM",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "248-593-1990"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oakland Integrated Healthcare Network (Owen Empowerment Zone)
• Oakland Integrated Healthcare Network
• Oakland Integrated Healthcare Network, Inc (Honor Rx)
• Oakland Limited Dividend Housing Association LLC (Baldwin House Oakland)
• Oakland Livingston Human Service Agency
• Oakland Nocturnal Physicians PLLC
• Oakland Orthopedic Partners PC
• Oakland Physiatry P.C.
• Oakland Physicans Medical Center (Doctors' Hospital of Michigan)
• Oakland Physicians Medical Center

• Skilled Nursing Facility in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Skilled Nursing Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.