OrganizationActive
Ccla9, LLC
NPI 1790030690 · Skilled Nursing Facility · Detroit, MI
Ccla9, LLC is a Skilled Nursing Facility organization in Detroit, MI (NPI 1790030690).
Provider details
- NPI number
- 1790030690
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Tim Kamego, Director of Operations(313) 342-1200
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7733 E Jefferson Ave
Detroit, MI 48214-3707
Phone: (248) 385-0559
Fax: (248) 593-9941
Street-level locationGet directions
Mailing address
7733 E Jefferson Ave
Detroit, MI 48214-3707
Other names (DBA / former)
- Doing business as
- Riverview Health & Rehab Center Vent Unit
Registry dates
- Enumerated
- 2012-07-17
- Last updated
- 2025-01-14
- Certified
- 2025-01-14
Frequently asked questions
- What is Ccla9, LLC's NPI number?
- Ccla9, LLC's National Provider Identifier (NPI) is 1790030690, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ccla9, LLC?
- Ccla9, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Ccla9, LLC located?
- Ccla9, LLC's practice location on file with NPPES is 7733 E Jefferson Ave, Detroit, MI 48214-3707.
- What is Ccla9, LLC's phone number?
- The practice phone number listed in the NPPES registry for Ccla9, LLC is (248) 385-0559.
- Who is the authorized official for Ccla9, LLC?
- The authorized official listed on Ccla9, LLC's NPPES record is Tim Kamego, Director of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ccla9, LLC's NPI active?
- Yes — Ccla9, LLC's NPI (1790030690) is active in the NPPES registry as of the last update on 2025-01-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.