Motown Children's Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MOTOWN CHILDREN'S SURGERY CENTER LLC

Practice address

33545 Cherry Hill Rd FL 2
Westland, MI 48186-4842

Phone

(301) 349-3000

Fax

(301) 307-5555

NPI assigned

Aug 8, 2023

Last updated

Sep 18, 2024By 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

Jeff Wheeler

Title

Exec

Phone

(301) 494-3000

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 1407539315. Details of each certification follow.

• CCN 23C0001161 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 23C0001161

Legal name

Motown Children's Surgery Center, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Jun 7, 2024

Last certification

Jun 7, 2024

Ownership / control type

Proprietary

Facility address

33545 Cherry Hill Rd, Fl 2
Westland, MI 48186

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

CLIA laboratory certificates

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1407539315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33545 CHERRY HILL RD FL 2",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481864842",
            "telephone_number": "301-349-3000",
            "fax_number": "301-307-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33545 CHERRY HILL RD FL 2",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481864842",
            "telephone_number": "301-349-3000",
            "fax_number": "301-307-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTOWN CHILDREN'S SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-08",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "EXEC",
        "authorized_official_telephone_number": "301-494-3000"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rasha Moslemani, LLPC
• Mothers Helping Mothers
• Tamra Caprice Motley, RN
• Shahina Arif Motorwala, MD
• Motown Children's General Anesthesia Dentistry, PLLC
• Rahma Moursy
• Muhammad Moussa
• MTM Community Pharmacy LLC
• Amani Asiya Rasheeda Muhammad
• Camilla Muhammad, LMSW

• Ambulatory Surgical Clinic/Center in Westland, MI
• Providers in Westland, MI by specialty
• Ambulatory Surgical Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.