Proficient Home Health Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROFICIENT HOME HEALTH SERVICES, LLC

Practice address

24399 Telegraph Rd Ste 200
Southfield, MI 48033-3033

Phone

(248) 987-8221

Fax

(248) 660-9414

NPI assigned

Nov 23, 2008

Organization subpart

No

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

Authorized official

Name

Micahel Adams

Title

Admin

Phone

(248) 987-8221

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063667749. Details of each certification follow.

• CCN 239132 Home health agency · Active · Details

Home health agency certification: CCN 239132

Legal name

PROFICIENT HOME HEALTH SERVICES LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 26, 2010

Last certification

Sep 13, 2019

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Nov 18, 2008 in MI

Enrollment address

24399 Telegraph Rd
Ste 200
Southfield, MI 48033-3033

Listed as

Proficient Home Health Services, LLCCCN 239132 · All quality measures

Ownership

Proprietary

Certified

Sep 26, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

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.

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

{
    "created_epoch": "1227398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614470400000",
    "number": "1063667749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24399 TELEGRAPH RD STE 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333033",
            "telephone_number": "248-987-8221",
            "fax_number": "248-660-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24399 TELEGRAPH RD STE 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333033",
            "telephone_number": "248-987-8221",
            "fax_number": "248-660-9414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24821 5 Mile Rd",
            "address_2": "Suite 4",
            "address_purpose": "LOCATION",
            "city": "Redford",
            "state": "MI",
            "postal_code": "482393695",
            "country_code": "US",
            "telephone_number": "313-533-7884",
            "fax_number": "313-533-7874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROFICIENT HOME HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-23",
        "last_updated": "2021-02-28",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "MICAHEL",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "248-987-8221"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2021; 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.

Verify at the official NPI Registry.