Active NPI
G & K Management Services, Inc.
- Skilled Nursing Facility
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- G & K MANAGEMENT SERVICES, INC.
- Practice address
- 5201 Conner St
Detroit, MI 48213-3405 - Phone
- (313) 571-5555
- Fax
- (313) 571-9555
- NPI assigned
- Nov 2, 2006
- Organization subpart
- Yes
- Parent organization
- CIENA HEALTHCARE MANAGEMENT, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mohammad A Qazi
- Title
- Ceo
- Phone
- (248) 386-0300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
5201 Conner St
Detroit, MI 48213-3405
Mailing address
5201 Conner St
Detroit, MI 48213-3405
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4434751 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040318001173 | MI | Part A Provider - Skilled Nursing Facility | 6709776115 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Detroit, MI |
Skilled nursing facility certification: CCN 235500
- Legal name
- G & K MANAGEMENT SERVICES INC
- Doing business as
- OMNI CONTINUING CARE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Nov 26, 1990
- Last certification
- Jul 11, 2024
- Beds
- 136
- Ownership / control type
- Corporation
- Multi-facility organization
- Ciena Healthcare Management
- Organization structure
- Corporation
- Incorporated
- Dec 29, 1982 in MI
- Enrollment address
- 5201 Conner St
Detroit, MI 48213-3405 - Nursing home name
- OMNI CONTINUING CARE
- Affiliated entity
- CIENA HEALTHCARE/LAUREL HEALTH CARE
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Omni Continuing Care
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Nov 26, 1990
- Medicare certification status
- Active
- Certified beds
- 136
- Chain
- Ciena Healthcare/Laurel Health Care
National Provider Directory
National Provider Directory- Tax ID family
- G K Management Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Detroit, MI
- NPI 1265439590
Ownership & related parties
All disclosed owners & managing parties 15
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Ciena Healthcare Management Inc | Operational/Managerial Control | Oct 21, 1998 | 10% |
| Adp of the SNF | Mar 25, 2025 | ||
| Charisse Yvette Lloyd | Operational/Managerial Control | Oct 10, 2022 | |
| Adp of the SNF | Oct 10, 2022 | ||
| Adp of the SNF | Mar 24, 2025 | ||
| Adp of the SNF | Mar 1, 2022 | ||
| Adp of the SNF | Mar 24, 2025 | ||
| Anis Khan | Corporate Officer | Oct 21, 1998 | 100% |
| Operational/Managerial Control | Oct 21, 1998 | ||
| Adp of the SNF | Oct 21, 1998 | ||
| Adp of the SNF | Dec 1, 2024 | ||
| Adp of the SNF | Jan 17, 2022 | ||
| Adp of the SNF | Oct 21, 1998 | ||
| Mohammad a. Qazi | 5% Or Greater Indirect Ownership Interest | Oct 21, 1998 | 100% |
| Corporate Director | Oct 21, 1998 | ||
| Operational/Managerial Control | Oct 21, 1998 | ||
| Managing Control - Governing Body | Oct 31, 1998 | ||
| Adp of the SNF | Oct 21, 1998 | ||
| Neal H Deutsch | Adp of the SNF | Jan 23, 2025 | |
| Adp of the SNF | Jan 3, 2003 | ||
| Mohammad a Qazi Living Trust Dated 09/26/97 | 5% Or Greater Direct Ownership Interest | Oct 21, 1998 | 100% |
| Adp of the SNF | Oct 21, 1980 | ||
| Direct Ownership Interest | Oct 21, 1998 | 100% | |
| Anna Gardina | Adp of the SNF | Jan 23, 2025 | |
| Matthew J Schweiger | Operational/Managerial Control | Apr 1, 2025 | |
| Adp of the SNF | Apr 1, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Lynchburg, VA
- NPI 1811421290
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Troy, MI
- NPI 1457507006
-
- Family Nurse Practitioner
- West Bloomfield, MI
- NPI 1134851074
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": "1162425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251936000000",
"number": "1376621789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5201 CONNER ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482133405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 CONNER ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482133405",
"telephone_number": "313-571-5555",
"fax_number": "313-571-9555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "G & K MANAGEMENT SERVICES, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CIENA HEALTHCARE MANAGEMENT, INC.",
"enumeration_date": "2006-11-02",
"last_updated": "2009-09-03",
"status": "A",
"authorized_official_last_name": "QAZI",
"authorized_official_first_name": "MOHAMMAD",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "248-386-0300"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4434751",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; 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.