Organization Active NPI

Regency Manor Nursing & Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Utica, MI
National Provider Identifier
1811272537
Registry record updated May 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
REGENCY MANOR NURSING & REHABILITATION CENTER LLC
Practice address
7700 McClellan St
Utica, MI 48317-5277
Phone
(586) 739-7700
NPI assigned
Oct 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2012

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

Authorized official

Name
Fahim Uddin
Title
Owner
Phone
(313) 549-7708

Specialties & licenses 1

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

Addresses

Primary practice location

7700 McClellan St
Utica, MI 48317-5277

Mailing address

30600 Telegraph Rd Ste 2155
Bingham Farms, MI 48025-4588

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120218000005 MI Part A Provider - Skilled Nursing Facility 2466610738 Practice locations: Utica, MI

Skilled nursing facility certification: CCN 235617

Legal name
REGENCY MANOR NURSING & REHABILITATION CENTER LLC
Doing business as
REGENCY MANOR NURSING & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 9, 2005
Last certification
Jun 13, 2024
Beds
39
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Legacy Health Care Management
Organization structure
LLCProprietary
Incorporated
Sep 27, 2011 in MI
Enrollment address
7700 McClellan St
Utica, MI 48317-5277
Nursing home name
REGENCY MANOR NURSING & REHABILITATION CENTER
Affiliated entity
PIONEER HEALTHCARE MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Regency Manor Nursing & Rehabilitation CenterCCN 235617 · All quality measures
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Aug 9, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3933.8 residents per day on average
Chain
Pioneer Healthcare Management9 facilities in the chain
Penalties (3 years)
1Fines totaling $0

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

30600 Telegraph Rd
Ste 2155
Bingham Farms, MI 48025

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Fahim Uddin Individual 5% Or Greater Direct Ownership InterestSole Member Sep 27, 2011 100%
W-2 Managing Employee Dec 10, 2022 100%

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1318464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336694400000",
    "number": "1811272537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30600 TELEGRAPH RD STE 2155",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 MCCLELLAN ST",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483175277",
            "telephone_number": "586-739-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY MANOR NURSING & REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-13",
        "last_updated": "2012-05-11",
        "status": "A",
        "authorized_official_last_name": "UDDIN",
        "authorized_official_first_name": "FAHIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-549-7708"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, MI

Sources for this page

Verify at the official NPI Registry.