Organization Active NPI

Bethesda Home Health LLC

  • Home Health Agency
  • Farmington Hills, MI
National Provider Identifier
1083270078
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BETHESDA HOME HEALTH LLC
Practice address
34445 Northwestern Hwy
Farmington Hills, MI 48336
Phone
(248) 305-8456
NPI assigned
May 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Authorized official

Name
Allison Gagui
Title
Ceo
Phone
(248) 301-8364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

34445 Northwestern Hwy
Farmington Hills, MI 48336

Mailing address

30445 Northwestern Hwy
Farmington Hills, MI 48334-3158
Phone (248) 305-8456

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191001001086 MI Part A Provider - Home Health Agency 8729318951 Practice locations: Farmington Hills, MI

Home health agency certification: CCN 239315

Legal name
BETHESDA HOME HEALTH LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 19, 2020
Last certification
Mar 19, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
30445 Northwestern Hwy
Ste 107
Farmington Hills, MI 48334-3174

Care Compare: Home health agency

Medicare Care Compare
Listed as
Bethesda Home HealthCCN 239315 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Mar 19, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Physical therapy

National Provider Directory

National Provider Directory

Locations

30445 Northwestern Hwy
Farmington Hills, MI 48334

30445 Northwestern Hwy
Ste 107
Farmington Hills, MI 48334
Phone (248) 797-9166

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
Allison Gagui Individual 5% Or Greater Direct Ownership InterestAdministrator Oct 7, 2024 100%
Bryan Gagui Individual W-2 Managing Employee Aug 1, 2019

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1557878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1083270078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30445 NORTHWESTERN HWY",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343158",
            "telephone_number": "248-305-8456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34445 NORTHWESTERN HWY",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "48336",
            "telephone_number": "248-305-8456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-15",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "GAGUI",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-301-8364"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.