NPIMap

Organization Active NPI

Manors of Canton, LLC

  • Skilled Nursing Facility
  • Canton, MI
National Provider Identifier
1447542857
Registry record updated Oct 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MANORS OF CANTON, LLC
Practice address
45900 Geddes Rd
Canton, MI 48188-2306
Phone
(248) 386-0300
Fax
(248) 386-1652
NPI assigned
May 4, 2011
Organization subpart
Yes
Parent organization
CIENA HEALTHCARE MANAGEMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 8, 2012

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

Authorized official

Name
Mr. Mohammed A Qazi
Title
Ceo/President
Phone
(248) 386-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

45900 Geddes Rd
Canton, MI 48188-2306

Mailing address

45900 Geddes Rd
Canton, MI 48188-2306

Other identifiers 2

IdentifierTypeStateIssuer
S9673OtherMIBCBSM
2353316MedicaidMI

Other names 1

  • Regency at Canton Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111207000402 MI Part A Provider - Skilled Nursing Facility 8628243383 Practice locations: Canton, MI

Skilled nursing facility certification: CCN 235657

Legal name
MANORS OF CANTON, LLC
Doing business as
REGENCY AT CANTON
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 20, 2012
Last certification
Jun 13, 2024
Beds
141
Ownership / control type
Individual
Multi-facility organization
Ciena Healthcare
Organization structure
LLCProprietary
Enrollment address
45900 Geddes Rd
Canton, MI 48188-2306
Nursing home name
REGENCY AT CANTON
Affiliated entity
CIENA HEALTHCARE/LAUREL HEALTH CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Regency at CantonCCN 235657
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Apr 20, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
141134.1 residents per day on average
Chain
Ciena Healthcare/Laurel Health Care81 facilities in the chain
Penalties (3 years)
1Fines totaling $17,345

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
23D2031068Regency at Canton45900 Geddes, Canton, MI 48188Certificate of waiverOct 11, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 14

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 LLC, Management services company, For-profit, Chain home office Operational/Managerial Control Apr 20, 2012 100%
Adp of the SNF Mar 25, 2025
Anis Khan Individual Operational/Managerial Control Apr 20, 2012
Managing Control - Governing BodyManager Apr 20, 2012
Adp of the SNF Apr 20, 2012
Organization, Southfield, MI LLC, Holding company, For-profit, Owned by another organization or individual Direct Ownership Interest Sep 9, 2022 100%
Brian Peruski Individual Operational/Managerial Control Apr 8, 2024
Adp of the SNF Apr 8, 2024
Individual Adp of the SNF Mar 1, 2022
Mohammad a. Qazi Individual 5% Or Greater Indirect Ownership InterestManager Sep 9, 2022 100%
Operational/Managerial Control Apr 20, 2012
Managing Control - Governing BodyManager Apr 20, 2012
Individual Adp of the SNF Dec 1, 2024
Individual Adp of the SNF Jan 17, 2022
Falgun C Patel Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Individual Adp of the SNF Apr 20, 2012
Organization, Southfield, MI LLC, For-profit Adp of the SNF Apr 20, 2012
Organization, West Bloomfield, MI For-profit Indirect Ownership Interest Sep 9, 2022
Organization, Glenview, IL LLC, For-profit Adp of the SNF Mar 25, 2025
Organization, Taylor, MI LLC, For-profit Adp of the SNF Mar 25, 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 47

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

View all 47

Practitioners & affiliated clinicians

Practitioners 3

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

Affiliated clinicians 2

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": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349654400000",
    "number": "1447542857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45900 GEDDES RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45900 GEDDES RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882306",
            "telephone_number": "248-386-0300",
            "fax_number": "248-386-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANORS OF CANTON, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CIENA HEALTHCARE MANAGEMENT",
        "enumeration_date": "2011-05-04",
        "last_updated": "2012-10-08",
        "status": "A",
        "authorized_official_last_name": "QAZI",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "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": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "S9673",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2353316",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regency at Canton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, MI

Sources for this page

Verify at the official NPI Registry.