Organization Active NPI

Excellent Home Care Inc

  • Home Health Agency
  • Garden City, MI
National Provider Identifier
1033279674
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EXCELLENT HOME CARE INC
Doing business as
SOMERSET HOME HEALTH CARE
Practice address
30925 Ford Rd
Garden City, MI 48135-1804
Phone
(734) 585-0623
Fax
(734) 585-0631
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Noor Khan, RRT
Title
President
Phone
(734) 642-8923

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

30925 Ford Rd
Garden City, MI 48135-1804

Mailing address

30925 Ford Rd
Garden City, MI 48135-1804
Phone (734) 585-0623

Other names 1

  • SOMERSET HOME HEALTH CARE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061227000291 MI Part A Provider - Home Health Agency 4284634106 Practice locations: Garden City, MI

Home health agency certification: CCN 237711

Legal name
EXCELLENT HOME CARE INC
Doing business as
SOMERSET HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 29, 2008
Last certification
Jan 29, 2008
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Dec 8, 2006 in MI
Enrollment address
30925 Ford Rd
Garden City, MI 48135-1804
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Somerset Home Health CareCCN 237711
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jan 29, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Excellent Home Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3001 Plymouth Rd
Ste 201
Ann Arbor, MI 48105
Phone (313) 474-0533

30925 Ford Rd
Garden City, MI 48135
Phone (734) 338-9280

20500 Eureka Rd
Ste 301
Taylor, MI 48180
Phone (734) 285-6970

2100 W Big Beaver Rd
#213
Troy, MI 48084
Phone (248) 458-0122

2100 W Big Beaver Rd
Ste 204
Troy, MI 48084
Phone (248) 822-6044

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
Noor Khan Individual 5% Or Greater Direct Ownership InterestOwner Oct 21, 2016 100%
Corporate OfficerCeo Oct 21, 2016 100%
Corporate DirectorCeo Oct 21, 2016 100%
Operational/Managerial ControlAdministrator Oct 21, 2016 100%

Practitioners & affiliated clinicians

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": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1033279674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30925 FORD RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481351804",
            "telephone_number": "734-585-0623",
            "fax_number": "734-585-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30925 FORD RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481351804",
            "telephone_number": "734-585-0623",
            "fax_number": "734-585-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENT HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "NOOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-642-8923",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOMERSET HOME HEALTH CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden City, MI

Sources for this page

Verify at the official NPI Registry.