Health Source Home Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HEALTH SOURCE HOME CARE INC

Practice address

1100 Owendale Dr
Suite B
Troy, MI 48083-1914

Phone

(248) 688-9106

Fax

(248) 250-5555

NPI assigned

Jul 21, 2009

Last updated

Jul 13, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Rommel A Pinili, PTNPI 1407392376

Title

President/Administrator

Phone

(248) 688-9106

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 1154551406. Details of each certification follow.

• CCN 239131 Home health agency · Active · Details

Home health agency certification: CCN 239131

Legal name

HEALTH SOURCE HOME CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 7, 2010

Last certification

Nov 8, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

1100 Owendale Dr
Ste H
Troy, MI 48083-1914

Listed as

Health Source Home Care, IncCCN 239131 · All quality measures

Overall star rating

2.5 of 5

Ownership

Proprietary

Certified

Oct 7, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rommel Pinili, PT

  • Physical Therapist
  • Rochester Hills, MI
  • NPI 1407392376
  Authorized official Same address or phone

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Dwight David E. Encinas, M.D.

  • Family Medicine Physician
  • Sterling Heights, MI
  • NPI 1942378757

  Home health agency

  Care Compare affiliation
• Harpal Jande, M.D.

  • Internal Medicine Physician
  • Washington, MI
  • NPI 1215932892

  Home health agency

  Care Compare affiliation
• Arpan Patel, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Sterling Heights, MI
  • NPI 1386140572

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310515200000",
    "number": "1154551406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 OWENDALE DR",
            "address_2": "SUITE B",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831914",
            "telephone_number": "248-688-9106",
            "fax_number": "248-250-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 OWENDALE DR",
            "address_2": "SUITE B",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831914",
            "telephone_number": "248-688-9106",
            "fax_number": "248-250-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SOURCE HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-21",
        "last_updated": "2011-07-13",
        "status": "A",
        "authorized_official_last_name": "PINILI",
        "authorized_official_first_name": "ROMMEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "248-688-9106",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Susan Arley Hearne, CTRS
• Heart & Home Care Services LLC

• Home Health Agency in Troy, MI
• Providers in Troy, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; 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.