NPIMap

Organization Active NPI

Premier Home Health Solutions Inc

Doing business as Four Seasons Home Health Care

  • Home Health Agency
  • Troy, MI
National Provider Identifier
1083092803
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
NON-APPLICABLE Issued in MI
Legal business name
PREMIER HOME HEALTH SOLUTIONS INC
Doing business as
Four Seasons Home Health Care
Practice address
671 E Big Beaver Rd Ste 203
Troy, MI 48083-1422
Phone
(586) 510-4659
Fax
(586) 576-7124
NPI assigned
May 13, 2015
Last updated
Jun 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Authorized official

Name
Josephine Mariano
Title
Administrator
Phone
(586) 909-0827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NON-APPLICABLE MI Primary

Addresses

Primary practice location

671 E Big Beaver Rd Ste 203
Troy, MI 48083-1422

Mailing address

671 E Big Beaver Rd Ste 203
Troy, MI 48083-1422
Phone (586) 510-4659

Other names 1

  • Four Seasons 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
O20180710002879 MI Part A Provider - Home Health Agency 1951657683 Practice locations: Troy, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083092803. Details of each certification follow.

Home health agency certification: CCN 239206

Legal name
PREMIER HOME HEALTH SOLUTIONS INC
Doing business as
FOUR SEASONS HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 17, 2011
Last certification
Jan 8, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
May 23, 2018 in MI
Enrollment address
671 E Big Beaver Rd
Ste 203
Troy, MI 48083-1422
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Four Seasons Home Health CareCCN 239206 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Nov 17, 2011
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
Four Seasons Home Health 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

671 E Big Beaver Rd
Ste 203
Troy, MI 48083
Phone (586) 510-4659

30050 Hoover Rd
Ste F
Warren, MI 48093
Phone (248) 298-6077

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
Josephine Mariano Individual 5% Or Greater Direct Ownership InterestCeo/Administrator Mar 8, 2023 100%
Corporate OfficerCeo Mar 8, 2023
W-2 Managing EmployeeCeo Sep 1, 2022 100%

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1083092803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 E BIG BEAVER RD STE 203",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831422",
            "telephone_number": "586-510-4659",
            "fax_number": "586-576-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 E BIG BEAVER RD STE 203",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831422",
            "telephone_number": "586-510-4659",
            "fax_number": "586-576-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HOME HEALTH SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "MARIANO",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "586-909-0827"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "NON-APPLICABLE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Four Seasons Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Four Seasons Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.