Active NPI
Maple-Drake Real Estate, LLC
Doing business as Notting Hill of West Bloomfield
- Skilled Nursing Facility
- West Bloomfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- MAPLE-DRAKE REAL ESTATE, LLC
- Doing business as
- Notting Hill of West Bloomfield
- Practice address
- 6535 Drake Rd
West Bloomfield, MI 48322-3147 - Phone
- (248) 592-2000
- Fax
- (248) 592-2600
- NPI assigned
- Sep 23, 2013
- Last updated
- Sep 15, 2026
- Organization subpart
- Yes
- Parent organization
- CIENA HEALTHCARE MANAGEMENT, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mohamed A Qazi
- Title
- President/Ceo
- Phone
- (248) 386-0300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
6535 Drake Rd
West Bloomfield, MI 48322-3147
Mailing address
6535 Drake Rd
West Bloomfield, MI 48322-3147
Phone (248) 592-2000
Other names 1
- Notting Hill of West Bloomfield
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140809000061 | MI | Part A Provider - Skilled Nursing Facility | 2163653833 | Practice locations: West Bloomfield, MI |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1669808622. Details of each certification follow.
Skilled nursing facility certification: CCN 235663
- Legal name
- MAPLE-DRAKE REAL ESTATE, LLC
- Doing business as
- NOTTING HILL OF WEST BLOOMFIELD
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 30, 2013
- Last certification
- Jan 16, 2025
- Beds
- 118
- Ownership / control type
- Corporation
- Multi-facility organization
- Cienna Healthcare
- Organization structure
- LLC
- Enrollment address
- 6535 Drake Rd
West Bloomfield, MI 48322-3147 - Nursing home name
- NOTTING HILL OF WEST BLOOMFIELD
- Affiliated entity
- CIENA HEALTHCARE/LAUREL HEALTH CARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Notting Hill of West Bloomfield
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- May 30, 2013
- Medicare certification status
- Active
- Certified beds
- 118
- Chain
- Ciena Healthcare/Laurel Health Care
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 6
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 13
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Ciena Healthcare Management Inc | Adp of the SNF | Mar 24, 2025 | |
| West Bloomfield Senior Leasing, LLC | Adp of the SNF | May 30, 2013 | |
| Anis Khan | Operational/Managerial Control | May 30, 2013 | |
| Managing Control - Governing Body | May 30, 2013 | ||
| Adp of the SNF | May 30, 2013 | ||
| Fareeda Wilson | Operational/Managerial Control | Nov 4, 2024 | |
| Adp of the SNF | Nov 4, 2024 | ||
| Adp of the SNF | Mar 1, 2022 | ||
| Mohammad a. Qazi | Operational/Managerial Control | May 30, 2013 | |
| Managing Control - Governing Body | May 30, 2013 | ||
| Adp of the SNF | May 30, 2013 | ||
| Indirect Ownership Interest | May 30, 2013 | 100% | |
| Carl E Palffy | Operational/Managerial Control | May 30, 2013 | |
| Adp of the SNF | May 30, 2013 | ||
| Adp of the SNF | Dec 1, 2024 | ||
| Mohammad a Qazi Living Trust Dated 09/26/97 | Adp of the SNF | May 30, 2013 | |
| Direct Ownership Interest | May 30, 2013 | 100% | |
| Adp of the SNF | Jan 17, 2022 | ||
| Adp of the SNF | May 30, 2013 | ||
| Select Rehabilitation, LLC | Adp of the SNF | Jan 29, 2013 | |
| Zenith Financial Group, LLC | Adp of the SNF | Mar 1, 2022 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Internal Medicine Physician
- Oak Park, MI
- NPI 1073548541
-
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1205044252
-
- Internal Medicine Physician
- Southfield, MI
- NPI 1447770722
-
- Geriatric Medicine (Internal Medicine) Physician
- West Bloomfield, MI
- NPI 1417295155
-
- Internal Medicine Physician
- South Lyon, MI
- NPI 1952302317
Affiliated clinicians 5
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1205044252
Nursing home
-
- Geriatric Medicine (Internal Medicine) Physician
- West Bloomfield, MI
- NPI 1417295155
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789430400000",
"number": "1669808622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6535 DRAKE RD",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483223147",
"telephone_number": "248-592-2000",
"fax_number": "248-592-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6535 DRAKE RD",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483223147",
"telephone_number": "248-592-2000",
"fax_number": "248-592-2600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAPLE-DRAKE REAL ESTATE, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CIENA HEALTHCARE MANAGEMENT, INC.",
"enumeration_date": "2013-09-23",
"last_updated": "2026-09-15",
"certification_date": "2026-09-15",
"status": "A",
"authorized_official_last_name": "QAZI",
"authorized_official_first_name": "MOHAMED",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT/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": [],
"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": "Notting Hill of West Bloomfield",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.