Organization Active NPI

Optimum Plus Home Care LLC

  • Home Health Agency
  • Southfield, MI
National Provider Identifier
1063635191
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
828055 Issued in MI
Legal business name
OPTIMUM PLUS HOME CARE LLC
Practice address
29610 Southfield Rd Ste 260
Southfield, MI 48076-2000
Phone
(313) 274-0700
Fax
(313) 274-0707
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Authorized official

Name
Mr. Michael William Miller
Title
Owner
Phone
(313) 274-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 828055 MI Primary

Addresses

Primary practice location

29610 Southfield Rd Ste 260
Southfield, MI 48076-2000

Mailing address

29610 Southfield Rd Ste 260
Southfield, MI 48076-2000
Phone (313) 274-0700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051202000773 MI Part A Provider - Home Health Agency 7719907856 Practice locations: Southfield, MI

Home health agency certification: CCN 237652

Legal name
OPTIMUM PLUS HOME CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 16, 2007
Last certification
Mar 16, 2007
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Mar 28, 2005 in MI
Enrollment address
29610 Southfield Rd
Ste 260
Southfield, MI 48076-2000

Care Compare: Home health agency

Medicare Care Compare
Listed as
Optimum Plus Home CareCCN 237652 · All quality measures
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Mar 16, 2007
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

Locations

21521 Van Born Rd
Taylor, MI 48180
Phone (313) 274-0700

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.

NameRoleSinceShare
Kevin Michael Miller Individual 5% Or Greater Direct Ownership InterestOwner Mar 28, 2005 50%
Corporate OfficerCoo Mar 28, 2005 50%
Corporate DirectorCoo Mar 28, 2005 50%
W-2 Managing EmployeeCoo Mar 28, 2005 50%
Operational/Managerial ControlCoo Mar 28, 2005 50%
Michael Miller Individual 5% Or Greater Direct Ownership InterestOwner Mar 28, 2005 50%
Corporate OfficerPresident Mar 28, 2005 50%
Corporate DirectorPresident Mar 28, 2005 50%
W-2 Managing EmployeePresident Mar 28, 2005 50%
Operational/Managerial ControlPresident Mar 28, 2012 50%

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": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562025600000",
    "number": "1063635191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29610 SOUTHFIELD RD STE 260",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762000",
            "telephone_number": "313-274-0700",
            "fax_number": "313-274-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29610 SOUTHFIELD RD STE 260",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762000",
            "telephone_number": "313-274-0700",
            "fax_number": "313-274-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM PLUS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2019-07-02",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-274-0700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "828055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.