NPIMap

Organization Active NPI

St. Mary's Acquisition Company Inc

Doing business as Regency at St. Clair Shores

  • Skilled Nursing Facility
  • Saint Clair Shores, MI
National Provider Identifier
1669479895
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ST. MARY'S ACQUISITION COMPANY INC
Doing business as
Regency at St. Clair Shores
Practice address
22700 Greater Mack Avenue
St Clair Shores, MI 48080-1917
Phone
(586) 443-4910
NPI assigned
Jul 1, 2005
Last updated
Sep 15, 2026By the provider in NPPES
Organization subpart
No

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 Ashraf Qazi
Title
Ceo
Phone
(248) 386-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

22700 Greater Mack Avenue
St Clair Shores, MI 48080-1917

Mailing address

4000 Town Ctr Ste 2000
Southfield, MI 48075-1415
Phone (248) 262-2357

Other identifiers 2

IdentifierTypeStateIssuer
S9553OtherMIBCBSM PIN
4321453MedicaidMI

Other names 1

  • Regency at St. Clair Shores 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
O20070719000743 MI Part A Provider - Skilled Nursing Facility 7214038371 Practice locations: Saint Clair Shores, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669479895. Details of each certification follow.

Skilled nursing facility certification: CCN 235319

Legal name
ST MARYS ACQUISITION COMPANY INC
Doing business as
REGENCY AT ST. CLAIR SHORES
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 1976
Last certification
Jun 27, 2024
Beds
146
Ownership / control type
Corporation
Multi-facility organization
Ciena Healthcare Management
Organization structure
CorporationProprietary
Incorporated
Dec 29, 1999 in MI
Enrollment address
22700 Greater Mack Ave
Saint Clair Shores, MI 48080-2016
Nursing home name
REGENCY AT ST. CLAIR SHORES
Affiliated entity
CIENA HEALTHCARE/LAUREL HEALTH CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Regency at St. Clair ShoresCCN 235319 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 1, 1976
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
146136.1 residents per day on average
Chain
Ciena Healthcare/Laurel Health Care81 facilities in the chain
Penalties (3 years)
1Fines totaling $22,874

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
23D0888101Regency at St Clair Shores22700 Greater Mack Avenue, Saint Clair Shores, MI 48080Certificate of waiverJun 22, 2028

National Provider Directory

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
Joseph Jarackas Individual Operational/Managerial Control May 23, 2016
Adp of the SNF May 23, 2016
Ciena Healthcare Management Inc Organization, Southfield, MI Corporation, Management services company, For-profit, Chain home office Operational/Managerial Control Jun 1, 2001
Adp of the SNF Mar 24, 2025
Flora Ann Dean Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Individual Adp of the SNF Mar 1, 2022
Organization, Southfield, MI LLC, Holding company, For-profit Adp of the SNF Jun 30, 2022
Anis Khan Individual Corporate OfficerTreasurer Jun 1, 2001 100%
Operational/Managerial Control Jun 1, 2001
Adp of the SNF Jun 1, 2001
Individual Adp of the SNF Dec 1, 2024
Mohammad a. Qazi Individual 5% Or Greater Indirect Ownership InterestPresident Jun 30, 2022 100%
Corporate OfficerPresident Jun 1, 2001 100%
Corporate DirectorPresident Jun 1, 2001 100%
Operational/Managerial Control Jun 1, 2001
Individual Adp of the SNF Jan 17, 2022
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 Jun 30, 2022 100%
Organization, Southfield, MI Adp of the SNF Jun 1, 2001
Individual Adp of the SNF Jan 3, 2003
Ciena Michigan Operations Group LLC Organization, Southfield, MI LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 30, 2022 100%
Organization, Taylor, MI LLC, For-profit Adp of the SNF Mar 24, 2025
Organization, Glenview, IL LLC, For-profit Adp of the SNF Mar 24, 2025
Organization, West Bloomfield, MI For-profit Adp of the SNF Jun 30, 2022

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": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1669479895",
    "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": "248-262-2357",
            "fax_number": "586-772-6608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22700 GREATER MACK AVENUE",
            "city": "ST CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801917",
            "telephone_number": "586-443-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY'S ACQUISITION COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "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": "ASHRAF",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM PIN",
            "identifier": "S9553",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4321453",
            "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",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Regency at St. Clair Shores",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Regency at St. Clair Shores",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Clair Shores, MI

Sources for this page

Verify at the official NPI Registry.