Active NPI
Holistic Home Healthcare LLC
- Home Health Agency
- Garden City, MI
National Provider Identifier
1023586237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- HOLISTIC HOME HEALTHCARE LLC
- Practice address
- 28533 Ford Rd
Garden City, MI 48135-2843 - Phone
- (313) 310-9151
- NPI assigned
- Nov 6, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sara Hawily, NP
- Title
- President
- Phone
- (313) 310-9151
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
28533 Ford Rd
Garden City, MI 48135-2843
Mailing address
28533 Ford Rd
Garden City, MI 48135-2843
Phone (313) 310-9151
Other names 1
- Holistic Home Healthcare
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190618000692 | MI | Part A Provider - Home Health Agency | 4183957541 | Practice locations: Garden City, MI |
Home health agency certification: CCN 239333
- Legal name
- HOLISTIC HOME HEALTHCARE LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jun 29, 2021
- Last certification
- Jun 29, 2021
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Enrollment address
- 28533 Ford Rd
Garden City, MI 48135-2843
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Holistic Home Healthcare, LLC
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jun 29, 2021
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
28533 Ford Rd
Garden City, MI 48135
Phone (313) 310-9151
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Sara I Hawily | 5% Or Greater Direct Ownership Interest | Oct 26, 2018 | 50% |
| Corporate Director | Oct 26, 2018 | 50% | |
| W-2 Managing Employee | Oct 26, 2018 | 50% | |
| Natalie Mourtada | 5% Or Greater Direct Ownership Interest | Oct 26, 2018 | 50% |
| Corporate Director | Oct 26, 2018 | 50% | |
| W-2 Managing Employee | Oct 26, 2018 | 50% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Nurse Practitioner
- Garden City, MI
- NPI 1396417473
5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Garden City, MI
- NPI 1396417473
Affiliated clinicians 6
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Physical Medicine & Rehabilitation Physician
- Dearborn, MI
- NPI 1326467143
Home health agency
-
- Family Nurse Practitioner
- Garden City, MI
- NPI 1396417473
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705622400000",
"number": "1023586237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28533 FORD RD",
"city": "GARDEN CITY",
"state": "MI",
"postal_code": "481352843",
"telephone_number": "313-310-9151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28533 FORD RD",
"city": "GARDEN CITY",
"state": "MI",
"postal_code": "481352843",
"telephone_number": "313-310-9151"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLISTIC HOME HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-06",
"last_updated": "2024-01-19",
"certification_date": "2024-01-19",
"status": "A",
"authorized_official_last_name": "HAWILY",
"authorized_official_first_name": "SARA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "313-310-9151",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Holistic Home Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Garden City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.