Organization Active NPI

St Anthony Acquisition Company Inc

  • Skilled Nursing Facility
  • Warren, MI
National Provider Identifier
1225035561
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ST ANTHONY ACQUISITION COMPANY INC
Practice address
31830 Ryan Rd
Warren, MI 48092-3767
Phone
(586) 977-6700
Fax
(586) 977-6727
NPI assigned
Jul 1, 2005
Organization subpart
Yes
Parent organization
CIENA HEALTHCARE MANAGEMENT, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

31830 Ryan Rd
Warren, MI 48092-3767

Mailing address

31830 Ryan Rd
Warren, MI 48092-3767
Phone (586) 977-6700

Other identifiers 2

IdentifierTypeStateIssuer
4270908MedicaidMI
S9548OtherMIBCBSM

Other names 1

  • St Anthony Healthcare Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111117000734 MI Part A Provider - Skilled Nursing Facility 1951575414 Practice locations: Warren, MI

Skilled nursing facility certification: CCN 235408

Legal name
ST ANTHONY ACQUISITION COMPANY INC
Doing business as
ST. ANTHONY HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 1, 1980
Last certification
Jun 11, 2025
Beds
142
Ownership / control type
Corporation
Multi-facility organization
Ciena Healthcare
Organization structure
CorporationProprietary
Incorporated
Aug 2, 2000 in MI
Enrollment address
31830 Ryan Rd
Warren, MI 48092-3767
Nursing home name
ST. ANTHONY HEALTHCARE CENTER
Affiliated entity
CIENA HEALTHCARE/LAUREL HEALTH CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
St. Anthony Healthcare CenterCCN 235408
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Aug 1, 1980
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
142135.1 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
23D0916002St Anthony Healthcare Center31830 Ryan Road, Warren, MI 48092Certificate of waiverJun 11, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 18

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 Adp of the SNF Mar 24, 2025
Organization, Southfield, MI LLC, For-profit Adp of the SNF Jun 1, 2001
Individual Adp of the SNF Mar 1, 2022
Anis Khan Individual Corporate OfficerTreasurer Jun 1, 2001 100%
Operational/Managerial Control Jun 1, 2001
Adp of the SNF Jun 1, 2001
Individual Adp of the SNF Dec 1, 2024
Individual Adp of the SNF Jan 3, 2003
Mohammad a. Qazi Individual 5% Or Greater Indirect Ownership InterestManager Jun 30, 2022 100%
Corporate OfficerPresident Jun 1, 2001 100%
Corporate DirectorPresident Jun 1, 2001 100%
Operational/Managerial Control Jun 1, 2001
Neal H Deutsch Individual Adp of the SNF Jan 23, 2025
Mohammad a Qazi Living Trust Dated 09/26/97 Organization, West Bloomfield, MI For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 30, 2022 100%
Erin Hamilton Individual Operational/Managerial Control Aug 17, 2015
Adp of the SNF Aug 17, 2015
Organization, Southfield, MI LLC, Holding company, For-profit Adp of the SNF Jun 30, 2022
Individual Adp of the SNF Jan 17, 2022
Mohammad Qazi 2022 Children'S Trust Uad 5-4-2022 Organization, West Bloomfield, MI For-profit 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 5% Or Greater Direct Ownership Interest Jun 30, 2022 100%
Anna Gardina Individual Adp of the SNF Jan 23, 2025
Organization, Taylor, MI LLC, For-profit Adp of the SNF Mar 24, 2025
Raafat Issa Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Organization, Glenview, IL 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 59

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

View all 59

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265673600000",
    "number": "1225035561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31830 RYAN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480923767",
            "telephone_number": "586-977-6700",
            "fax_number": "586-977-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31830 RYAN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480923767",
            "telephone_number": "586-977-6700",
            "fax_number": "586-977-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ANTHONY ACQUISITION COMPANY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CIENA HEALTHCARE MANAGEMENT, INC",
        "enumeration_date": "2005-07-01",
        "last_updated": "2010-02-09",
        "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": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4270908",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "S9548",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Anthony Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.