NPIMap

Organization Active NPI

Laurel Health Care Company of Lowell

Doing business as The Laurels of Kent

  • Nursing Facility/Intermediate Care Facility
  • Lowell, MI
National Provider Identifier
1639124308
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
414340 Issued in MI
Legal business name
LAUREL HEALTH CARE COMPANY OF LOWELL
Doing business as
The Laurels of Kent
Practice address
350 N Center St
Lowell, MI 49331-1212
Phone
(616) 897-8473
Fax
(616) 897-0081
NPI assigned
May 23, 2006
Last updated
Sep 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Authorized official

Name
Anis Khan
Title
Cfo
Phone
(248) 386-0300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 414340 MI Primary
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 names 1

  • THE LAURELS OF KENT Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111118000141 WI Part A Provider - Skilled Nursing Facility 8729252200 Practice locations: Lowell, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639124308. Details of each certification follow.

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
CorporationProprietary
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

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Laurels of KentCCN 235253 · All quality measures
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
ActiveFrom the Provider of Services file
Certified beds
15393.8 residents per day on average
Chain
Ciena Healthcare/Laurel Health Care81 facilities in the chain
Penalties (3 years)
2Fines totaling $62,010

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Laurel Health Care Company of Lowell2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 16

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 Corporation, Management services company, For-profit, Chain home office Operational/Managerial Control Jan 1, 2021 100%
Adp of the SNF Mar 31, 2025
David Stobb Individual Adp of the SNF Jan 1, 2021
Anis Khan Individual Corporate OfficerTreasurer Feb 1, 2016
Operational/Managerial Control Feb 1, 2016
Adp of the SNF Feb 1, 2016
Individual Adp of the SNF Jan 17, 2022
Individual Adp of the SNF Dec 1, 2024
Mohammad a. Qazi Individual 5% Or Greater Indirect Ownership InterestPresident Feb 1, 2016 100%
Corporate OfficerPresident Feb 1, 2016 100%
Corporate DirectorPresident Feb 1, 2016 100%
Operational/Managerial Control Feb 1, 2016
Neal H Deutsch Individual Adp of the SNF Jan 23, 2025
Individual Adp of the SNF Mar 1, 2022
Organization, Southfield, MI LLC, For-profit Adp of the SNF Feb 1, 2016
Justin P Di Rezze Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Organization, Westerville, OH Corporation, Holding company, For-profit, Owned by another organization or individual Indirect Ownership Interest Feb 1, 2016 100%
Laurel Health Care Holdings, Inc. Organization, Westerville, OH Corporation, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 1, 2016 100%
Direct Ownership Interest Feb 1, 2016 100%
Nancy Stephens Individual Operational/Managerial Control Jan 3, 2017
Adp of the SNF Jan 3, 2017
Anna Gardina Individual Adp of the SNF Jan 23, 2025
Organization, Glenview, IL LLC, For-profit Adp of the SNF Mar 31, 2025
Organization, Taylor, MI LLC, For-profit Adp of the SNF Mar 31, 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 76

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

View all 76

Practitioners & affiliated clinicians

Practitioners 2

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": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1639124308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 TOWN CTR STE 2000",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480751415",
            "telephone_number": "248-386-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N CENTER ST",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493311212",
            "telephone_number": "616-897-8473",
            "fax_number": "616-897-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL HEALTH CARE COMPANY OF LOWELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ANIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "248-386-0300"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MI",
            "license": "414340",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "414340",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE LAURELS OF KENT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THE LAURELS OF KENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lowell, MI

Sources for this page

Verify at the official NPI Registry.