Active NPI
Senior Citizens Home Health Care, Inc.
- Home Health Agency
- Redford, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- NA
- Legal business name
- SENIOR CITIZENS HOME HEALTH CARE, INC.
- Practice address
- 25334 5 Mile Rd
Redford, MI 48239-3704 - Phone
- (313) 543-3280
- Fax
- (313) 543-3283
- NPI assigned
- Jul 30, 2006
- 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
- Syed Hassan Shah, P.T.
- Title
- Ceo/Administrator
- Phone
- (313) 543-3280
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | |||
| Home Health Agency | 251E00000X | NA | Primary |
Addresses
Primary practice location
25334 5 Mile Rd
Redford, MI 48239-3704
Mailing address
25334 5 Mile Rd
Redford, MI 48239-3704
Phone (313) 543-3280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061005000668 | MI | Part A Provider - Home Health Agency | 6901802438 | Practice locations: Redford, MI |
Home health agency certification: CCN 237696
- Legal name
- SENIOR CITIZENS HOME HEALTH CARE, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Sep 7, 2007
- Last certification
- Sep 7, 2007
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- May 1, 2006 in MI
- Enrollment address
- 25334 5 Mile Rd
Redford, MI 48239-3704
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Senior Citizens Home Health Care
- Overall star rating
- Ownership
- Proprietary
- Certified
- Sep 7, 2007
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
30600 Northwestern Hwy
Ste 205
Farmington Hills, MI 48334
Phone (248) 552-0764
25334 5 Mile Rd
Redford, MI 48239
Phone (313) 543-3280
18711 W 10 Mile Rd
Ste 200
Southfield, MI 48075
Phone (248) 552-0764
25511 Southfield Rd
Ste 104
Southfield, MI 48075
Phone (248) 552-0764
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 |
|---|---|---|---|
| Syed Hassan Shah | 5% Or Greater Direct Ownership Interest | Nov 18, 2021 | 100% |
| Corporate Director | May 1, 2006 | ||
| W-2 Managing Employee | Jul 29, 2019 | ||
| Susan M Dayton | W-2 Managing Employee | Jul 29, 2019 |
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Physical Medicine & Rehabilitation Physician
- Dearborn, MI
- NPI 1326467143
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720656000000",
"number": "1174538839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25334 5 MILE RD",
"city": "REDFORD",
"state": "MI",
"postal_code": "482393704",
"telephone_number": "313-543-3280",
"fax_number": "313-543-3283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25334 5 MILE RD",
"city": "REDFORD",
"state": "MI",
"postal_code": "482393704",
"telephone_number": "313-543-3280",
"fax_number": "313-543-3283"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENIOR CITIZENS HOME HEALTH CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-30",
"last_updated": "2024-07-11",
"certification_date": "2023-09-13",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "SYED",
"authorized_official_middle_name": "HASSAN",
"authorized_official_title_or_position": "CEO/ADMINISTRATOR",
"authorized_official_telephone_number": "313-543-3280",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": "NA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.