Alpha Home Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ALPHA HOME CARE, LLC

Practice address

1050 W University Dr
Suite 1
Rochester, MI 48307-1877

Phone

(248) 650-7992

Fax

(248) 650-7993

NPI assigned

Jun 9, 2010

Last updated

Jun 9, 2010By 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

Dr. Samir Hanna, P.T., PHDNPI 1750575486

Title

President

Phone

(248) 650-7992

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 1194045344. Details of each certification follow.

• CCN 239181 Home health agency · Active · Details

Home health agency certification: CCN 239181

Legal name

ALPHA HOME CARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 29, 2011

Last certification

Aug 29, 2011

Ownership / control type

Government Operated

Organization structure

LLCProprietary

Incorporated

May 4, 2010 in MI

Enrollment address

1050 W University Dr
Ste 1
Rochester, MI 48307-1877

Listed as

Alpha Home CareCCN 239181 · All quality measures

Overall star rating

3.5 of 5

Ownership

Proprietary

Certified

Aug 29, 2011

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, 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

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.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Samir Hanna, PH.D. P.T.

  • Physical Therapist
  • Rochester, MI
  • NPI 1750575486

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership

Practitioners 2

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.

• Samir Hanna, PH.D. P.T.

  • Physical Therapist
  • Rochester, MI
  • NPI 1750575486
  NPD (past) Authorized official
• Arun Naidu, P.T.

  • Physical Therapist
  • Fort Wayne, IN
  • NPI 1558753541
  NPD (past)

Affiliated clinicians 2

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

• Mark B Alrais, M.D

  • Family Medicine Physician
  • Saint Clair Shores, MI
  • NPI 1083875702

  Home health agency

  Care Compare affiliation
• Ryan Pradko, DO

  • Family Medicine Physician
  • Rochester, MI
  • NPI 1841605888

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276041600000",
    "number": "1194045344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 W UNIVERSITY DR",
            "address_2": "SUITE 1",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071877",
            "telephone_number": "248-650-7992",
            "fax_number": "248-650-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 W UNIVERSITY DR",
            "address_2": "SUITE 1",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071877",
            "telephone_number": "248-650-7992",
            "fax_number": "248-650-7993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-09",
        "last_updated": "2010-06-09",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-650-7992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "P.T., PHD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Rochester, MI
• Providers in Rochester, 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 Jun 9, 2010; 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.