NPIMap

Organization Active NPI

Home Care Connect, Inc.

  • Home Health Agency
  • Livonia, MI
National Provider Identifier
1194951384
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOME CARE CONNECT, INC.
Practice address
33620 Five Mile Rd Ste B
Livonia, MI 48154
Phone
(313) 541-1172
Fax
(313) 541-1171
NPI assigned
Jun 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Authorized official

Name
Mr. Warren C Mangulabnan, RPT, CEEAANPI 1194185439
Title
Administrator
Phone
(313) 541-1172

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

33620 Five Mile Rd Ste B
Livonia, MI 48154

Mailing address

33620 Five Mile Rd Ste B
Livonia, MI 48154-2866
Phone (313) 541-1172

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090624000751 MI Part A Provider - Home Health Agency 3274684675 Practice locations: Livonia, MI

Home health agency certification: CCN 239157

Legal name
HOME CARE CONNECT, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 17, 2011
Last certification
Jan 17, 2014
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 17, 2008 in MI
Enrollment address
33620 Five Mile Rd
Ste B
Livonia, MI 48154-2866

Care Compare: Home health agency

Medicare Care Compare
Listed as
Home Care ConnectCCN 239157
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Feb 17, 2011
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
23D1097324Home Care Connect Inc33620 Five Mile Road Suite B, Livonia, MI 48154Certificate of waiverMar 23, 2027

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

33620 5 Mile Rd
Ste B
Livonia, MI 48154
Phone (313) 541-1172

19500 Middlebelt Rd
Ste 109W
Livonia, MI 48152
Phone (248) 957-8930

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
Warren C Mangulabnan Individual 5% Or Greater Direct Ownership Interest Sep 15, 2015 50%
Corporate DirectorPresident Sep 15, 2015
W-2 Managing EmployeeAdministrator Mar 1, 2020
Jimmy P Manansala Individual 5% Or Greater Direct Ownership Interest Sep 15, 2015 50%
Corporate DirectorVice President Sep 15, 2015
W-2 Managing EmployeeClinical Manager Mar 1, 2020

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1243900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1194951384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33620 FIVE MILE RD STE B",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481542866",
            "telephone_number": "313-541-1172",
            "fax_number": "313-541-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33620 FIVE MILE RD STE B",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "48154",
            "telephone_number": "313-541-1172",
            "fax_number": "313-541-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE CONNECT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-02",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "MANGULABNAN",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "313-541-1172",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT, CEEAA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.