Active NPI
Optimum Plus Home Care LLC
- Home Health Agency
- Southfield, MI
National Provider Identifier
1063635191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 828055
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Care
- Overall star rating
- Ownership
- Proprietary
- Certified
- Mar 16, 2007
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Kevin Michael Miller | 5% Or Greater Direct Ownership Interest | Mar 28, 2005 | 50% |
| Corporate Officer | Mar 28, 2005 | 50% | |
| Corporate Director | Mar 28, 2005 | 50% | |
| W-2 Managing Employee | Mar 28, 2005 | 50% | |
| Operational/Managerial Control | Mar 28, 2005 | 50% | |
| Michael Miller | 5% Or Greater Direct Ownership Interest | Mar 28, 2005 | 50% |
| Corporate Officer | Mar 28, 2005 | 50% | |
| Corporate Director | Mar 28, 2005 | 50% | |
| W-2 Managing Employee | Mar 28, 2005 | 50% | |
| Operational/Managerial Control | Mar 28, 2012 | 50% |
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Hospitalist Physician
- Shelby Township, MI
- NPI 1275709446
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.