Laurel Health Care Company of Lowell
Organization Active NPI Nursing Facility/Intermediate Care Facility · Lowell, MI
NPI 1639124308 · NPPES record last updated Sep 10, 2021
Key facts
- NPI
- 1639124308
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nursing Facility/Intermediate Care Facility 313M00000X
- License
- 414340 (MI)
- Legal business name
- LAUREL HEALTH CARE COMPANY OF LOWELL
- Practice address
- 350 N Center St
Lowell, MI 49331-1212 - Phone
- (616) 897-8473
- Fax
- (616) 897-0081
- NPI assigned
- May 23, 2006
- Organization subpart
- No
Authorized official
- Name
- Anis Khan
- Title
- Cfo
- Phone
- (248) 386-0300
Owners & managing parties with NPI records 1
Corporate family (same tax ID) 1
Facilities with the same owner 76
Practitioners 2
Affiliated clinicians 1
Medicare Care Compare: Nursing home
- Listed as
- The Laurels of Kent
- Overall star rating
- ★★★☆☆ 3 of 5
- Health inspections
- ★★★☆☆ 3 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jul 1, 1978
- Medicare certification status
- Active
- Certified beds
- 153 · 93.8 residents per day on average
- Chain
- Ciena Healthcare/Laurel Health Care
- Penalties (3 years)
- 2 · fines totaling $62,010
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Skilled nursing facility certification: CCN 235253
- Legal name
- LAUREL HEALTH CARE COMPANY OF LOWELL
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Jul 1, 1978
- Last certification
- Dec 20, 2024
- Beds
- 153
- Ownership / control type
- Corporation
- Multi-facility organization
- Ciena Healthcare
- Organization structure
- Corporation · Proprietary
- Incorporated
- Oct 1, 1995 in MI
- Enrollment address
- 350N Center St
Lowell, MI 49331-1212 - Nursing home name
- THE LAURELS OF KENT
- Affiliated entity
- CIENA HEALTHCARE/LAUREL HEALTH CARE
All disclosed owners & managing parties 16
| Name | Role | Since | Share |
|---|---|---|---|
| Ciena Healthcare Management Inc |
Operational/Managerial Control | Jan 1, 2021 | 100% |
| Adp of the SNF | Mar 31, 2025 | ||
| David Stobb |
Adp of the SNF | Jan 1, 2021 | |
| Anis Khan |
Corporate Officer |
Feb 1, 2016 | |
| Operational/Managerial Control | Feb 1, 2016 | ||
| Adp of the SNF | Feb 1, 2016 | ||
| |
Adp of the SNF | Jan 17, 2022 | |
| |
Adp of the SNF | Dec 1, 2024 | |
| Mohammad a. Qazi |
5% Or Greater Indirect Ownership Interest |
Feb 1, 2016 | 100% |
| Corporate Officer |
Feb 1, 2016 | 100% | |
| Corporate Director |
Feb 1, 2016 | 100% | |
| Operational/Managerial Control | Feb 1, 2016 | ||
| Neal H Deutsch |
Adp of the SNF | Jan 23, 2025 | |
| |
Adp of the SNF | Mar 1, 2022 | |
| |
Adp of the SNF | Feb 1, 2016 | |
| Justin P Di Rezze |
Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| |
Indirect Ownership Interest | Feb 1, 2016 | 100% |
| Laurel Health Care Holdings, Inc. |
5% Or Greater Direct Ownership Interest | Feb 1, 2016 | 100% |
| Direct Ownership Interest | Feb 1, 2016 | 100% | |
| Nancy Stephens |
Operational/Managerial Control | Jan 3, 2017 | |
| Adp of the SNF | Jan 3, 2017 | ||
| Anna Gardina |
Adp of the SNF | Jan 23, 2025 | |
| |
Adp of the SNF | Mar 31, 2025 | |
| |
Adp of the SNF | Mar 31, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111118000141 | WI | Part a Provider - Skilled Nursing Facility | 8729252200 | Practice locations: Lowell, MI |
National Provider Directory
- Tax ID family
- Laurel Health Care Company of Lowell
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 414340 | MI | Yes |
| Skilled Nursing Facility | 314000000X | 414340 | MI |
Addresses
Primary practice location
350 N Center St
Lowell, MI 49331-1212
Mailing address
4000 Town Ctr Ste 2000
Southfield, MI 48075-1415
Phone (248) 386-0300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3202073 | Medicaid | MI | |
| 09848 | Other | MI | BLUE CROSS BLUE SHIELD # |
| 414340 | Other | MI | NURSING HOME LICENSE # |
Other names
- THE LAURELS OF KENT
Other providers in Lowell, MI
- Ashley Kristin Korff
- Sandra Ann Koteskey
- Aaron Kuntz
- James C Lang
- Tara Lynn Lanz
- Laurel Health Care Company of Lowell
- Shannon Lewis
- Life Transitions Therapy LLC
- Parker Liu
- Tracy L Lixie
All providers in Lowell, MI · Nursing Facility/Intermediate Care Facility in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.