Organization · Type 2 NPI

Deckerville Nursing Center, LLC

Skilled Nursing Facility · Deckerville, MI

NPI number 1669479804 Active

Practice location

3387 Ella
Deckerville, MI 48427-9441

Fax (810) 376-4093

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

NPI record

NPI: 1669479804
Entity type: Organization (Type 2)
Issued: Jul 1, 2005
Last updated: Sep 16, 2026
Status: Active
Subpart: Yes of Ciena Healthcare Management, Inc

Other names

<unavail>
Autumnwood of Deckerville · doing business as

Authorized official

Mr. Mohammad Ashraf Qazi
CEO
(248) 386-0300

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1669479804

Deckerville Nursing Center, LLC's National Provider Identifier is 1669479804, issued on Jul 1, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Deckerville, MI. The record was last updated on Sep 16, 2026.