NPIMap

Organization Active NPI

Laurel Health Care Company of Mt Pleasant

Doing business as The Laurels of Mt Pleasant

  • Nursing Facility/Intermediate Care Facility
  • Mt Pleasant, MI
National Provider Identifier
1649225335
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
374010 Issued in MI
Legal business name
LAUREL HEALTH CARE COMPANY OF MT PLEASANT
Doing business as
The Laurels of Mt Pleasant
Practice address
400 S Crapo St
Mt Pleasant, MI 48858-2944
Phone
(989) 773-5918
Fax
(989) 772-3656
NPI assigned
May 23, 2006
Last updated
Sep 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 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 374010 MI Primary
Skilled Nursing Facility 314000000X 374010 MI

Addresses

Primary practice location

400 S Crapo St
Mt Pleasant, MI 48858-2944

Mailing address

4000 Town Ctr Ste 2000
Southfield, MI 48075-1415
Phone (248) 386-0300

Other identifiers 3

IdentifierTypeStateIssuer
09686OtherMIBLUE CROSS BLUE SHIELD #
3202082MedicaidMI
374010OtherMINURSING HOME LICENSE #

Other names 1

  • THE LAURELS OF MT PLEASANT Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111110000332 MI Part A Provider - Skilled Nursing Facility 2860666765 Practice locations: Mount Pleasant, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649225335. Details of each certification follow.

Skilled nursing facility certification: CCN 235385

Legal name
LAUREL HEALTH CARE COMPANY OF MT PLEASANT
Doing business as
THE LAURELS OF MT PLEASANT
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1979
Last certification
Jul 24, 2024
Beds
112 (100 certified)
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Ciena Healthcare Corporation
Organization structure
CorporationProprietary
Incorporated
Oct 1, 1995 in MI
Enrollment address
400 S Crapo St
Mount Pleasant, MI 48858-2944
Nursing home name
THE LAURELS OF MT. PLEASANT
Affiliated entity
CIENA HEALTHCARE/LAUREL HEALTH CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Laurels of Mt. PleasantCCN 235385 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1979
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10086.9 residents per day on average
Chain
Ciena Healthcare/Laurel Health Care81 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Laurel Health Care Company of Mt Pleasant2 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 17

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 Corporate OfficerSecretary Feb 1, 2016 100%
Adp of the SNF Jan 1, 2021
Organization, Glenview, IL LLC, For-profit Adp of the SNF Mar 31, 2025
Anis Khan Individual Corporate OfficerTreasurer Feb 1, 2016
Operational/Managerial Control Feb 1, 2016
Adp of the SNF Feb 1, 2016
Laurel Acquisition Holding Corporation Organization, Westerville, OH Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2016 100%
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
Adp of the SNF Feb 1, 2016
Neal H Deutsch Individual Adp of the SNF Jan 23, 2025
Mohammad a Qazi Living Trust Dated 09/26/97 Organization, West Bloomfield, MI For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2016 100%
Adp of the SNF Jan 1, 2021
Individual Adp of the SNF Jan 17, 2022
Justin P Di Rezze Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Individual Adp of the SNF Dec 1, 2024
Individual Adp of the SNF Mar 1, 2022
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%
Organization, Southfield, MI LLC Adp of the SNF Feb 1, 2016
Anna Gardina Individual Adp of the SNF Jan 23, 2025
Organization, Taylor, MI LLC, For-profit Adp of the SNF Mar 31, 2025
Kimberly Boyte-Blemaster Individual Operational/Managerial Control Dec 30, 2019
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 80

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

View all 80

Practitioners & affiliated clinicians

Practitioners 3

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": "1631059200000",
    "number": "1649225335",
    "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": "400 S CRAPO ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582944",
            "telephone_number": "989-773-5918",
            "fax_number": "989-772-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL HEALTH CARE COMPANY OF MT PLEASANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "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": "374010",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "374010",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD #",
            "identifier": "09686",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3202082",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING HOME LICENSE #",
            "identifier": "374010",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE LAURELS OF MT PLEASANT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THE LAURELS OF MT PLEASANT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mt Pleasant, MI

Sources for this page

Verify at the official NPI Registry.