NPIMap

Organization Active NPI

Amber Home Health Care, Inc.

  • Home Health Agency
  • Southfield, MI
National Provider Identifier
1063477875
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
237527 Issued in MI
Legal business name
AMBER HOME HEALTH CARE, INC.
Practice address
29792 Telegraph Rd Ste 130
Southfield, MI 48034-7670
Phone
(313) 730-8500
Fax
(313) 730-9172
NPI assigned
Apr 18, 2006
Last updated
Aug 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Authorized official

Name
Inder Kumar ThawaniNPI 1558401950
Title
Ceo
Phone
(313) 730-8500

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 237527 MI Primary

Addresses

Primary practice location

29792 Telegraph Rd Ste 130
Southfield, MI 48034-7670

Mailing address

29792 Telegraph Rd Ste 130
Southfield, MI 48034-7670
Phone (313) 730-8500

Other identifiers 1

IdentifierTypeStateIssuer
23-7527OtherMIMEDICARE PROVIDER NO.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040524001133 MI Part A Provider - Home Health Agency 8628063534 Practice locations: Southfield, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063477875. Details of each certification follow.

Home health agency certification: CCN 237527

Legal name
AMBER HOME HEALTH CARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 7, 2004
Last certification
Feb 7, 2004
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Feb 7, 2004 in MI
Enrollment address
29792 Telegraph Rd
Ste 130
Southfield, MI 48034-7670

Care Compare: Home health agency

Medicare Care Compare
Listed as
Amber Home Health Care, IncCCN 237527 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Feb 7, 2004
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
23D1020368Amber Home Health Care29792 Telegraph Road Suite 130, Southfield, MI 48034Certificate of waiverDec 17, 2027

National Provider Directory

National Provider Directory

Locations

17000 Executive Plaza Dr
Ste 207
Dearborn, MI 48126
Phone (313) 730-8500

29792 Telegraph Rd
Ste 130
Southfield, MI 48034
Phone (313) 730-8500

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Alan S Funk Individual Corporate DirectorBoard Member Dec 31, 2014 5%
Keith Pomeroy Individual 5% Or Greater Direct Ownership Interest Dec 31, 2014 20%
Pinal Patel Individual 5% Or Greater Direct Ownership Interest Dec 31, 2014 25%
Alan S Funk Declaration of Trust Organization, West Bloomfield, MI 5% Or Greater Direct Ownership Interest Dec 31, 2014 5%
Rajan Patel Individual Corporate DirectorBoard Member Dec 31, 2014
Inder K Thawani Individual 5% Or Greater Direct Ownership Interest Feb 7, 2004 50%
Corporate OfficerPresident/Board Member/Administr Feb 7, 2004
Corporate DirectorPresdient/Board Member/Administr Feb 7, 2004
W-2 Managing EmployeePresident/Board Member/Administr Feb 7, 2004

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Inder Kumar Thawani
    • Physical Therapist
    • Canton, MI
    • NPI 1558401950

    5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1063477875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29792 TELEGRAPH RD STE 130",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347670",
            "telephone_number": "313-730-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29792 TELEGRAPH RD STE 130",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347670",
            "telephone_number": "313-730-8500",
            "fax_number": "313-730-9172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBER HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "THAWANI",
        "authorized_official_first_name": "INDER",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-730-8500"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "237527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NO.",
            "identifier": "23-7527",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.