Organization Active NPI

National Home Care LLC

  • Home Health Agency
  • Redford, MI
National Provider Identifier
1174792626
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NATIONAL HOME CARE LLC
Practice address
25210 5 Mile Rd
Redford, MI 48239-3702
Phone
(313) 387-1571
Fax
(313) 341-1101
NPI assigned
Feb 28, 2008
Last updated
Feb 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Mr. Khurram Baig
Title
President
Phone
(313) 387-1571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

25210 5 Mile Rd
Redford, MI 48239-3702

Mailing address

25210 5 Mile Rd
Redford, MI 48239-3702
Phone (313) 387-1571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080331000336 MI Part A Provider - Home Health Agency 8820174857 Practice locations: Redford, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174792626. Details of each certification follow.

Home health agency certification: CCN 239096

Legal name
NATIONAL HOME CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 13, 2009
Last certification
Sep 25, 2015
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Feb 26, 2008 in MI
Enrollment address
25210 Five Mile Rd
Redford, MI 48239-3702

Care Compare: Home health agency

Medicare Care Compare
Listed as
National Home CareCCN 239096 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Nov 13, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D1080662National Home Care LLC25210 Five Mile Road, Redford, MI 48239Certificate of waiverFeb 26, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Khurram Baig Individual 5% Or Greater Direct Ownership Interest Mar 5, 2008 100%
Corporate Director Mar 5, 2008
W-2 Managing Employee Mar 5, 2008 100%

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": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1174792626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25210 5 MILE RD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482393702",
            "telephone_number": "313-387-1571",
            "fax_number": "313-341-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25210 5 MILE RD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482393702",
            "telephone_number": "313-387-1571",
            "fax_number": "313-341-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "BAIG",
        "authorized_official_first_name": "KHURRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-387-1571",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redford, MI

Sources for this page

Verify at the official NPI Registry.