Organization Active NPI

Senior Citizens Home Health Care, Inc.

  • Home Health Agency
  • Redford, MI
National Provider Identifier
1174538839
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jul 11, 2024

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)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
Incorporated
May 1, 2006 in MI
Enrollment address
25334 5 Mile Rd
Redford, MI 48239-3704
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Senior Citizens Home Health CareCCN 237696
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Sep 7, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Syed Hassan Shah Individual 5% Or Greater Direct Ownership InterestCeo/ Administrator Nov 18, 2021 100%
Corporate DirectorBoard Member May 1, 2006
W-2 Managing EmployeeClinical Manager Jul 29, 2019
Susan M Dayton Individual W-2 Managing EmployeeAdministrator Jul 29, 2019

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "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

Verify at the official NPI Registry.