Organization Active NPI

Arbor Woods Home Health Care, Inc.

Doing business as Legacy Home Healthcare

  • Home Health Agency
  • Portage, MI
National Provider Identifier
1245464668
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ARBOR WOODS HOME HEALTH CARE, INC.
Doing business as
Legacy Home Healthcare
Practice address
1615 W Centre Ave Ste 201
Portage, MI 49024
Phone
(269) 888-2333
Fax
(269) 888-2555
NPI assigned
May 13, 2009
Last updated
Jul 31, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Authorized official

Name
Nadeem Mallick
Title
Administrator
Phone
(269) 888-2333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1615 W Centre Ave Ste 201
Portage, MI 49024

Mailing address

1615 W Centre Ave Ste 201
Portage, MI 49024-5382
Phone (269) 888-2333

Other names 1

  • Legacy Home Healthcare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090526000473 MI Part A Provider - Home Health Agency 6709935612 Practice locations: Portage, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245464668. Details of each certification follow.

Home health agency certification: CCN 239161

Legal name
ARBOR WOODS HOME HEALTH CARE, INC.
Doing business as
LEGACY HOME HEALTHCARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 25, 2011
Last certification
Oct 24, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 21, 2009 in MI
Enrollment address
1615 W Centre Ave
Ste 202
Portage, MI 49024-5382

Care Compare: Home health agency

Medicare Care Compare
Listed as
Legacy Home HealthcareCCN 239161 · All quality measures
Overall star rating
2.5 of 5
Ownership
Non-Profit
Certified
Feb 25, 2011
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

247 Michigan Ave W
Battle Creek, MI 49017
Phone (269) 282-0226

5820 N Canton Center Rd
Ste 150
Canton, MI 48187
Phone (734) 454-5440

5860 N Canton Center Rd
Ste 310
Canton, MI 48187
Phone (734) 416-3710

5860 N Canton Center Rd
Ste 3104
Canton, MI 48187
Phone (734) 454-5440

1615 W Centre Ave
Ste 201
Portage, MI 49024
Phone (269) 888-2333

1615 W Centre Ave
Ste 202
Portage, MI 49024
Phone (269) 888-2333

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
David E Guimond Individual W-2 Managing EmployeeDirector of Nursing Mar 25, 2016 50%
Nadeem Mallick Individual 5% Or Greater Direct Ownership InterestOwner Dec 29, 2017 100%
Corporate OfficerBoard Member Dec 29, 2017 100%
Corporate DirectorBoard Member Dec 29, 2017 100%
W-2 Managing EmployeeAdministrator Mar 14, 2016

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785456000000",
    "number": "1245464668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 W CENTRE AVE STE 201",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490245382",
            "telephone_number": "269-888-2333",
            "fax_number": "269-888-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 W CENTRE AVE STE 201",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "49024",
            "telephone_number": "269-888-2333",
            "fax_number": "269-888-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBOR WOODS HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-13",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A",
        "authorized_official_last_name": "MALLICK",
        "authorized_official_first_name": "NADEEM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "269-888-2333"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Home Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portage, MI

Sources for this page

Verify at the official NPI Registry.