Organization Active NPI

Long Life Home Health Services LLC

  • Home Health Agency
  • Madison Heights, MI
National Provider Identifier
1124803275
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LONG LIFE HOME HEALTH SERVICES LLC
Practice address
28051 Dequindre Rd Ste E
Madison Heights, MI 48071-3016
Phone
(248) 443-0400
NPI assigned
Aug 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Authorized official

Name
Raoth Shaker-Salam Abdelmalek
Title
Owner
Phone
(248) 790-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

28051 Dequindre Rd Ste E
Madison Heights, MI 48071-3016

Mailing address

28051 Dequindre Rd Ste E
Madison Heights, MI 48071-3016

National Provider Directory

National Provider Directory

Locations

28051 Dequindre Rd
Ste E
Madison Heights, MI 48071
Phone (248) 443-0400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1124803275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28051 DEQUINDRE RD STE E",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28051 DEQUINDRE RD STE E",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713016",
            "telephone_number": "248-443-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG LIFE HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "ABDELMALEK",
        "authorized_official_first_name": "RAOTH",
        "authorized_official_middle_name": "SHAKER-SALAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-790-0700"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.