NPIMap

Organization Active NPI

Eastwood Convalescent Center Inc.

Doing business as Regency at Chene

  • Skilled Nursing Facility
  • Detroit, MI
National Provider Identifier
1629075023
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
EASTWOOD CONVALESCENT CENTER INC.
Doing business as
Regency at Chene
Practice address
2295 E Vernor Hwy
Detroit, MI 48207-3513
Phone
(313) 923-5816
Fax
(313) 923-6155
NPI assigned
Jun 30, 2005
Last updated
Sep 15, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CIENA HEALTHCARE MANAGEMENT, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Authorized official

Name
Mr. Mohammad A Qazi
Title
Ceo
Phone
(248) 386-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2295 E Vernor Hwy
Detroit, MI 48207-3513

Mailing address

2295 E Vernor Hwy
Detroit, MI 48207-3513
Phone (313) 923-5816

Other identifiers 2

IdentifierTypeStateIssuer
S9533OtherMIBCBSM
3302112MedicaidMI

Other names 1

  • Regency at Chene Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network Inc

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030219000003 MI Part A Provider - Skilled Nursing Facility 2365351939 Practice locations: Detroit, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629075023. Details of each certification follow.

Skilled nursing facility certification: CCN 235422

Legal name
EASTWOOD CONVALESCENT CENTER INC.
Doing business as
REGENCY AT CHENE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jan 22, 1982
Last certification
May 13, 2025
Beds
160
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Incorporated
Jun 24, 1996 in MI
Enrollment address
2295 E Vernor Hwy
Detroit, MI 48207-3308
Nursing home name
REGENCY AT CHENE
Affiliated entity
CIENA HEALTHCARE/LAUREL HEALTH CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Regency at CheneCCN 235422 · All quality measures
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Jan 22, 1982
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
160144.8 residents per day on average
Chain
Ciena Healthcare/Laurel Health Care81 facilities in the chain
Penalties (3 years)
1Fines totaling $15,593

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
23D0881767Regency at Chene2295 E Vernor, Detroit, MI 48207Certificate of waiverJan 18, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Individual Adp of the SNF Jan 3, 2003
Ciena Healthcare Management Inc Organization, Southfield, MI Corporation, Management services company, For-profit, Chain home office Operational/Managerial Control Oct 21, 1998
Adp of the SNF Mar 25, 2025
Kimberly Garner-Lucas Individual Operational/Managerial Control Dec 8, 2014
Adp of the SNF Dec 8, 2014
Anis Khan Individual Corporate OfficerTreasurer Oct 21, 1998 100%
Operational/Managerial Control Oct 21, 1998
Adp of the SNF Oct 21, 1998
Individual Adp of the SNF Jan 17, 2022
Mohammad a. Qazi Individual 5% Or Greater Indirect Ownership InterestPresident Oct 21, 1998 100%
Corporate OfficerPresident Oct 21, 1998 100%
Corporate DirectorPresident Oct 21, 1998 100%
Operational/Managerial Control Oct 21, 1998
Mohammad a Qazi Living Trust Dated 09/26/97 Organization, West Bloomfield, MI For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Oct 21, 1998 100%
Organization, Taylor, MI LLC, For-profit Adp of the SNF Mar 25, 2025
Organization, Glenview, IL LLC, For-profit Adp of the SNF Mar 25, 2025
Individual Adp of the SNF Mar 1, 2022
Individual Adp of the SNF Dec 1, 2024

Facilities with the same owner 76

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

View all 76

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1629075023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 E VERNOR HWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482073513",
            "telephone_number": "313-923-5816",
            "fax_number": "313-923-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 E VERNOR HWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482073513",
            "telephone_number": "313-923-5816",
            "fax_number": "313-923-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTWOOD CONVALESCENT CENTER INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CIENA HEALTHCARE MANAGEMENT, INC",
        "enumeration_date": "2005-06-30",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "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",
        "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": "S9533",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3302112",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "affiliationName": "Ability Network Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd SteB",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Regency at Chene",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Regency at Chene",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.