Maple Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MAPLE HOME HEALTH CARE LLC

Practice address

5600 W Maple Rd Ste C314
West Bloomfield, MI 48322-3709

Phone

(248) 562-7591

Fax

(248) 404-6831

NPI assigned

Jan 21, 2008

Last updated

Oct 11, 2023By 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

Mukhtar Ahmad, PT

Title

Administrator

Phone

(248) 747-3068

Specialties & licenses 1

Addresses

Other names 1

• Maple Health Care LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245416247. Details of each certification follow.

• CCN 239080 Home health agency · Active · Details

Home health agency certification: CCN 239080

Legal name

MAPLE HOME HEALTH CARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 8, 2009

Last certification

Jul 2, 2015

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Sep 21, 2007 in MI

Enrollment address

5600 W Maple Rd
Ste C314
West Bloomfield, MI 48322-3709
HHA Branch

Listed as

Maple Home Health Care, LLCCCN 239080 · All quality measures

Overall star rating

2.5 of 5

Ownership

Proprietary

Certified

Sep 8, 2009

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, 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

Locations

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.

Change-of-ownership history 2

Affiliated clinicians 1

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

• Wasim Qazi, MD

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1558460998

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1200873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1245416247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 W MAPLE RD STE C314",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223709",
            "telephone_number": "248-562-7591",
            "fax_number": "248-404-6831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 W MAPLE RD STE C314",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223709",
            "telephone_number": "248-562-7591",
            "fax_number": "248-404-6831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-21",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "MUKHTAR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-747-3068",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maple Health Care LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• David Harold Manchel, PSY.D
• Erin Manick
• Wilhelmina Manuel, PT
• Elisabeth R. Maodus, NP
• Maple Cardiology & Internal Medicine, PLLC
• Maple Pharmacy, Inc.
• Maple Psychiatric Associates, P.C.
• Maple-Drake Real Estate, LLC (Notting Hill of West Bloomfield)
• Nancy A. Maranto, AU.D
• Marc S Brodsky MD PC

• Home Health Agency in West Bloomfield, MI
• Providers in West Bloomfield, 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 Oct 11, 2023; 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.