Active NPI
Arbor Woods Home Health Care, Inc.
Doing business as Legacy Home Healthcare
- Home Health Agency
- Portage, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Healthcare
- Overall star rating
- Ownership
- Non-Profit
- Certified
- Feb 25, 2011
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| David E Guimond | W-2 Managing Employee | Mar 25, 2016 | 50% |
| Nadeem Mallick | 5% Or Greater Direct Ownership Interest | Dec 29, 2017 | 100% |
| Corporate Officer | Dec 29, 2017 | 100% | |
| Corporate Director | Dec 29, 2017 | 100% | |
| W-2 Managing Employee | 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.
-
- Medical Physician Assistant
- Dearborn, MI
- NPI 1043258957
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; 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.