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Ccla9, LLC

Skilled Nursing Facility in Detroit, MI · enumerated 2012 · authorized official Tim Kamego, Director of Operations.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790030690

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Registry record

Entity type Organization (Type 2)
Legal business name Ccla9, LLC
Other name <Unavail>
Practice address 7733 E Jefferson Ave, Detroit, MI, 48214
Fax (248) 593-9941
Enumeration date Jul 17, 2012
Last updated in NPPES Jan 14, 2025

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Tim Kamego
Title Director of Operations

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Ccla9, LLC?
The NPI for Ccla9, LLC is 1790030690, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Ccla9, LLC?
NPPES lists Tim Kamego (Director of Operations) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-01-14.