Ccla 9 LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CCLA 9 LLC

Practice address

18300 E Warren Ave
Detroit, MI 48224-1343

Phone

(248) 385-0559

Fax

(248) 593-9941

NPI assigned

Oct 25, 2010

Last updated

Jan 14, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Richard L Levin

Title

Manager

Phone

(248) 891-2111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851691844. Details of each certification follow.

• CCN 235476 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 235476

Legal name

CCLA 9 LLC

Doing business as

RIVERVIEW HEALTH AND REHAB CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Nov 7, 1988

Last certification

Apr 2, 2025

Beds

180

Ownership / control type

Corporation

Multi-facility organization

Riverview Health

Organization structure

LLCProprietary

Incorporated

Sep 12, 2009 in MI

Enrollment address

18300E Warren Ave
Detroit, MI 48224-1343

Nursing home name

RIVERVIEW HEALTH AND REHAB CENTER NORTH

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Ccla 9 LLC

  dba Riverview Health & Rehab Center

  • Skilled Nursing Facility
  • Detroit, MI
  • NPI 1295018745

  3476735200

  Same PAC ID

Listed as

Riverview Health and Rehab Center NorthCCN 235476 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

2 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Nov 7, 1988

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

180141.4 residents per day on average

Penalties (3 years)

5Fines totaling $38,471

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Ccla 9 LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Ccla 9 LLC

  dba Riverview Health & Rehab Center

  • Skilled Nursing Facility
  • Detroit, MI
  • NPI 1295018745
  NPD tax ID
• Ccla9, LLC

  dba Riverview health & Rehab Center Vent Unit

  • Skilled Nursing Facility
  • Detroit, MI
  • NPI 1790030690
  NPD tax ID
• St John Senior Community

  • Skilled Nursing Facility
  • Detroit, MI
  • NPI 1700865169
  NPD tax ID

All disclosed owners & managing parties 4

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

Facilities with the same owner 1

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

• Ccla 6 LLC

  • Skilled Nursing Facility
  • Grosse Pointe Woods, MI
  • NPI 1902292279

  DRSN Associates LLC

  CMS ownership

Practitioners 6

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.

• Hassan A. Bazzi, D.O.

  • Internal Medicine Physician
  • Troy, MI
  • NPI 1457507006
  NPD (past)
• Mohanad Mohi Deen, MD

  • Student in an Organized Health Care Education/Training Program
  • Detroit, MI
  • NPI 1881258820
  NPD (past)
• Bassam Matti, MD

  • Family Medicine Physician
  • Troy, MI
  • NPI 1376593079
  NPD (past)
• Daniel Saul Mizrahi, D.O.

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1740499029
  NPD (past)
• Seth B Parker, M.D.

  • Hospitalist Physician
  • Shelby Township, MI
  • NPI 1144214008
  NPD (past)
• Janaina Matteussi Zilli, MD

  • Internal Medicine Physician
  • Saint Clair Shores, MI
  • NPI 1366544058
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1851691844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17515 W 9 MILE RD",
            "address_2": "SUITE 925",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754403",
            "telephone_number": "248-569-8400",
            "fax_number": "248-569-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18300 E WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482241343",
            "telephone_number": "248-385-0559",
            "fax_number": "248-593-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCLA 9 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-25",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-891-2111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary C Caverly, CPNP
• Caysee Jones
• Nicole Cazares
• CC Griggs Holding, LTD.
• Ccla 9 LLC (Riverview Health & Rehab Center)
• Ccla9, LLC (Riverview health & Rehab Center Vent Unit)
• Dawn Ceballos, M.A., NCC., LLPC.
• Aurora Cebu
• Cece's Integrity Residential Services
• Mark Cecil, LLBSW

• Skilled Nursing Facility in Detroit, MI
• Providers in Detroit, MI by specialty
• Skilled Nursing Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.

Verify at the official NPI Registry.