NPIMap

Organization Active NPI

Ccla 6 LLC

  • Skilled Nursing Facility
  • Grosse Pointe Woods, MI
National Provider Identifier
1902292279
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CCLA 6 LLC
Practice address
900 Cook Rd
Grosse Pointe Woods, MI 48236-2739
Phone
(248) 385-0559
Fax
(248) 593-9941
NPI assigned
Apr 13, 2015
Last updated
Jan 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Authorized official

Name
Mr. Tim M Kamego Sr.
Title
Director of Operations
Phone
(586) 770-8017

Specialties & licenses 1

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

Addresses

Primary practice location

900 Cook Rd
Grosse Pointe Woods, MI 48236-2739

Mailing address

900 Cook Rd
Grosse Pointe Woods, MI 48236-2739
Phone (131) 388-5500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150916000083 MI Part A Provider - Skilled Nursing Facility 4183931652 Practice locations: Grosse Pointe Woods, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902292279. Details of each certification follow.

Skilled nursing facility certification: CCN 235709

Legal name
CCLA 6 LLC
Doing business as
THE RIVERS HEALTH & REHAB CENTER OF GROSSE POINTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 30, 2015
Last certification
Aug 22, 2024
Beds
86
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Riverview Health
Organization structure
LLCProprietary
Incorporated
Sep 15, 2009 in MI
Enrollment address
900 Cook Rd
Grosse Pointe Woods, MI 48236-2739
Nursing home name
THE RIVERS HEALTH & REHABILITATION CENTER OF GROSSE POINTE

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Rivers Health & Rehabilitation Center of GrossCCN 235709 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 30, 2015
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8679.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Antonio Simbeni Individual Corporate Officer Feb 1, 2011
DRSN Associates LLC Organization, Bingham Farms, MI For-profit 5% Or Greater Direct Ownership Interest Jul 27, 2015 100%
5% Or Greater Mortgage Interest Jul 27, 2015 74.71%
Operational/Managerial Control Jul 27, 2015 100%
Timothy Kamego Individual Corporate Officer Jan 30, 2011
Corporate Director Jan 30, 2011
Heather Montpas Individual W-2 Managing Employee Aug 25, 2015
Richard Levin Individual Corporate DirectorCeo Jan 1, 2011 100%

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1902292279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 COOK RD",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362739",
            "telephone_number": "131-388-5500",
            "fax_number": "131-388-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 COOK RD",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362739",
            "telephone_number": "248-385-0559",
            "fax_number": "248-593-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCLA 6 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "KAMEGO",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "586-770-8017",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe Woods, MI

Sources for this page

Verify at the official NPI Registry.