Sorrento Care Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SORRENTO CARE CENTER, LLC

Practice address

12900 W Chicago St
Detroit, MI 48228-2651

Phone

(313) 491-7830

NPI assigned

Mar 29, 2006

Last updated

Mar 30, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

CIENA HEALTHCARE MANAGEMENT, INCAs reported in NPPES

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

Addresses

Other identifiers 2

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1629039631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 W CHICAGO ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482282651",
            "telephone_number": "313-491-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12900 W CHICAGO ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482282651",
            "telephone_number": "313-491-7830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SORRENTO CARE CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CIENA HEALTHCARE MANAGEMENT, INC",
        "enumeration_date": "2006-03-29",
        "last_updated": "2010-03-30",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "09570",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4844651",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Anthony Sorge
• Yoram Sorokin, M.D.
• Lillie Ruth Sorrell, LLPC
• Laura Diane Sorrells
• Elsa Louise Sorrentino, RN
• Rachel Adellita Sortor, LPN
• Gabriel Sosne, MD
• Alexa Soto
• Jesenia Soto, BCBA
• Kenndal Soto, AGACNP-BC

• Skilled Nursing Facility in Detroit, MI
• Providers in Detroit, 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 Mar 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.