Northville Manor LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

NORTHVILLE MANOR LLC

Practice address

520 W Main St
Northville, MI 48167-1529

Phone

(248) 349-4290

NPI assigned

Dec 20, 2021

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

Skilled nursing facility certification: CCN 235730

Legal name

NORTHVILLE MANOR LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Jan 1, 2022

Last certification

Apr 17, 2025

Beds

37

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Legacy Healthcare Management

Organization structure

LLCProprietary

Incorporated

Sep 22, 2021 in MI

Enrollment address

520 W Main St
Northville, MI 48167-1529

Nursing home name

NORTHVILLE MANOR

Affiliated entity

PIONEER HEALTHCARE MANAGEMENT

Listed as

Northville ManorCCN 235730

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jan 1, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

3727.8 residents per day on average

Chain

Pioneer Healthcare Management9 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 1

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

Practitioners 1

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

• Mohammad Saleh, M.D.

  • Internal Medicine Physician
  • Walled Lake, MI
  • NPI 1619394004
  NPD (past)

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639958400000",
    "number": "1407516305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30700 TELEGRAPH RD STE 2504",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254571",
            "telephone_number": "248-593-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W MAIN ST",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671529",
            "telephone_number": "248-349-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHVILLE MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-20",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "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": []
}

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• Skilled Nursing Facility in Northville, MI
• Providers in Northville, 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 Dec 20, 2021; 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.