NPIMap

Organization Active NPI

Laurel Health Care Company of Hudsonville

Doing business as The Laurels of Hudsonville

  • Skilled Nursing Facility
  • Hudsonville, MI
National Provider Identifier
1982659595
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
704050 Issued in MI
Legal business name
LAUREL HEALTH CARE COMPANY OF HUDSONVILLE
Doing business as
The Laurels of Hudsonville
Practice address
3650 Van Buren St
Hudsonville, MI 49426-1036
Phone
(616) 669-1520
Fax
(616) 669-4640
NPI assigned
May 23, 2006
Last updated
Sep 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Authorized official

Name
Anis Khan
Title
Cfo
Phone
(248) 386-0300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 704050 MI
Skilled Nursing Facility 314000000X 704050 MI Primary

Addresses

Primary practice location

3650 Van Buren St
Hudsonville, MI 49426-1036

Mailing address

4000 Town Ctr Ste 2000
Southfield, MI 48075-1415
Phone (248) 386-0300

Other identifiers 3

IdentifierTypeStateIssuer
3478134MedicaidMI
704050OtherMINURSING HOME LICENSE #
09882OtherMIBLUE CROSS BLUE SHIELD #

Other names 1

  • THE LAURELS OF HUDSONVILLE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111114000056 MI Part A Provider - Skilled Nursing Facility 8820119902 Practice locations: Hudsonville, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982659595. Details of each certification follow.

Skilled nursing facility certification: CCN 235327

Legal name
LAUREL HEALTH CARE COMPANY OF HUDSONVILLE
Doing business as
THE LAURELS OF HUDSONVILLE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 1978
Last certification
Aug 14, 2024
Beds
108
Ownership / control type
Corporation
Multi-facility organization
Ciena Healthcare
Organization structure
CorporationProprietary
Incorporated
Feb 11, 1998 in MI
Enrollment address
3650 Van Buren St
Hudsonville, MI 49426-1036
Nursing home name
THE LAURELS OF HUDSONVILLE
Affiliated entity
CIENA HEALTHCARE/LAUREL HEALTH CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Laurels of HudsonvilleCCN 235327 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 1, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10892.1 residents per day on average
Chain
Ciena Healthcare/Laurel Health Care81 facilities in the chain
Penalties (3 years)
3Fines totaling $31,005

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Ciena Healthcare Management Inc Organization, Southfield, MI Corporation, Management services company, For-profit, Chain home office Operational/Managerial Control Jan 1, 2021 100%
Adp of the SNF Apr 1, 2025
Individual Adp of the SNF Mar 1, 2022
David Stobb Individual Corporate OfficerSecretary Feb 1, 2016
Adp of the SNF Feb 1, 2016
Anis Khan Individual Corporate OfficerTreasurer Feb 1, 2016
Operational/Managerial Control Feb 1, 2016
Adp of the SNF Feb 1, 2016
Individual Adp of the SNF Jan 1, 2021
Laurel Acquisition Holding Corporation Organization, Westerville, OH Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2016 100%
Hudsonville Senior Leasing, LLC Organization, Southfield, MI LLC, For-profit Adp of the SNF Jan 1, 2021
Mohammad a. Qazi Individual 5% Or Greater Indirect Ownership InterestPresident Feb 1, 2016
Corporate OfficerPresident Feb 1, 2016 100%
Corporate DirectorPresident Feb 1, 2016 100%
Operational/Managerial Control Feb 1, 2016
Michelle Castillo Individual Operational/Managerial Control Apr 1, 2019
Adp of the SNF Apr 1, 2019
Justin P Di Rezze Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Organization, Glenview, IL LLC, For-profit Adp of the SNF Apr 1, 2025
Laurel Health Care Holdings, Inc. Organization, Westerville, OH Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2016 100%
Organization, Taylor, MI LLC, For-profit Adp of the SNF Apr 1, 2025
Individual Adp of the SNF Jan 17, 2022
Individual Adp of the SNF Dec 1, 2024

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 4

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": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1982659595",
    "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": "248-386-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 VAN BUREN ST",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494261036",
            "telephone_number": "616-669-1520",
            "fax_number": "616-669-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL HEALTH CARE COMPANY OF HUDSONVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ANIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "248-386-0300"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MI",
            "license": "704050",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "704050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3478134",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING HOME LICENSE #",
            "identifier": "704050",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD #",
            "identifier": "09882",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE LAURELS OF HUDSONVILLE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THE LAURELS OF HUDSONVILLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hudsonville, MI

Sources for this page

Verify at the official NPI Registry.