Organization Active NPI

Synergy Home Health Care, Inc

  • Home Health Agency
  • Madison Heights, MI
National Provider Identifier
1033207477
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SYNERGY HOME HEALTH CARE, INC
Practice address
28009 John R Rd
Madison Heights, MI 48071-2809
Phone
(248) 336-8999
Fax
(586) 264-9690
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Virendra M GaidhaneNPI 1265503288
Title
Administrator/Ceo
Phone
(248) 336-8999

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)CodeLicenseStatePrimary
Home Health Agency 251E00000X MI Primary

Addresses

Primary practice location

28009 John R Rd
Madison Heights, MI 48071-2809

Mailing address

28009 John R Rd
Madison Heights, MI 48071-2809
Phone (248) 336-8999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060316000073 MI Part A Provider - Home Health Agency 9234146218 Practice locations: Madison Heights, MI

Home health agency certification: CCN 237607

Legal name
SYNERGY HOME HEALTH CARE, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 29, 2006
Last certification
Jun 12, 2015
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 17, 2005 in MI
Enrollment address
28009 John R Road
Madison Heights, MI 48071-2809

Care Compare: Home health agency

Medicare Care Compare
Listed as
Synergy Home Health CareCCN 237607
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Jun 29, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D1050385Synergy Home Health Care Inc28009 John R Road, Madison Heights, MI 48071Certificate of waiverFeb 1, 2028

National Provider Directory

National Provider Directory

Locations

28009 John R Rd
Madison Heights, MI 48071
Phone (248) 336-8999

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sujata Gaidhane Individual 5% Or Greater Direct Ownership InterestCeo Nov 2, 2020 100%
Corporate Director Nov 2, 2020
W-2 Managing EmployeeAlternate Administrator Jan 18, 2006

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033207477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28009 JOHN R RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712809",
            "telephone_number": "248-336-8999",
            "fax_number": "586-264-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28009 JOHN R RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712809",
            "telephone_number": "248-336-8999",
            "fax_number": "586-264-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY HOME HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAIDHANE",
        "authorized_official_first_name": "VIRENDRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "248-336-8999",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

Verify at the official NPI Registry.