Active NPI
Bethesda Home Health LLC
- Home Health Agency
- Farmington Hills, MI
National Provider Identifier
1083270078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- Enrollment address
- 30445 Northwestern Hwy
Ste 107
Farmington Hills, MI 48334-3174
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Bethesda Home Health
- Overall star rating
- Ownership
- Proprietary
- Certified
- Mar 19, 2020
- Medicare certification status
- Active
- Services
- Nursing, Physical therapy
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Allison Gagui | 5% Or Greater Direct Ownership Interest | Oct 7, 2024 | 100% |
| Bryan Gagui | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.