# DECKERVILLE NURSING CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CIENA HEALTHCARE MANAGEMENT, INC
- **Other names:** Autumnwood of Deckerville
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1669479804
- **Legal business name:** CIENA HEALTHCARE MANAGEMENT, INC
- **Authorized official:** MR. MOHAMMAD ASHRAF QAZI (CEO)
- **Authorized official phone:** (248) 386-0300

## Contact information

- **Practice address:** 3387 ELLA, DECKERVILLE, MI 48427-9441
- **Practice address phone:** (810) 376-2145
- **Practice address fax:** (810) 376-4093
- **Mailing address:** 3387 ELLA, DECKERVILLE, MI 48427-9441
- **Mailing address phone:** (810) 376-2145
- **Mailing address fax:** (810) 376-4093

## Taxonomy

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

## Other

- **Enumeration date:** 07/01/2005
- **Last updated:** 09/16/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4152673 | — | MI |
| 01 | — | S9515 | BCBSM | MI |