Ccla 9 LLC
NPI 1295018745ActiveOrganization· Skilled Nursing Facility· Detroit, MI
Skilled Nursing Facility in Detroit, Michigan, registered in NPPES in September 2011. The authorized official on file is Tim Kamego, Director Of Operations. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1295018745 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 21, 2011 |
| Last updated in NPPES | Sep 21, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (WI) |
|---|
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