# SORRENTO CARE CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CIENA HEALTHCARE MANAGEMENT, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1629039631
- **Legal business name:** CIENA HEALTHCARE MANAGEMENT, INC
- **Authorized official:** MOHAMMAD A QAZI (CEO)
- **Authorized official phone:** (248) 386-0300

## Contact information

- **Practice address:** 12900 W CHICAGO ST, DETROIT, MI 48228-2651
- **Practice address phone:** (313) 491-7830
- **Mailing address:** 12900 W CHICAGO ST, DETROIT, MI 48228-2651
- **Mailing address phone:** (313) 491-7830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 03/29/2006
- **Last updated:** 03/30/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 09570 | BCBSM | — |
| 05 | — | 4844651 | — | MI |