Wisdom Home Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

WISDOM HOME HEALTH CARE INC

Doing business as

Wisdom Home Health Care INC

Practice address

26645 W 12 Mile Rd Ste 211
Southfield, MI 48034-7812

Phone

(248) 991-0204

Fax

(248) 991-0206

NPI assigned

Oct 25, 2021

Organization subpart

No

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

Authorized official

Name

Bahadur Ali Syed

Title

Manager

Phone

(248) 991-0204

Specialties & licenses 1

Addresses

Other names 1

• Wisdom Home Health Care INC Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Home health agency certification: CCN 239349

Legal name

WISDOM HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 8, 2023

Last certification

Jan 27, 2023

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Aug 21, 2021 in MI

Enrollment address

26645 W 12 Mile Rd
Ste 211
Southfield, MI 48034-7812

Listed as

Wisdom Home Health Care, IncCCN 239349 · All quality measures

Overall star rating

4 of 5

Ownership

Proprietary

Certified

Feb 8, 2023

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.

Affiliated clinicians 1

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

• Samantha Rita Kassab, NP

  • Adult Health Nurse Practitioner
  • Novi, MI
  • NPI 1639447279

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1255095436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26645 W 12 MILE RD STE 211",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347812",
            "telephone_number": "248-991-0204",
            "fax_number": "248-991-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26645 W 12 MILE RD STE 211",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347812",
            "telephone_number": "248-991-0204",
            "fax_number": "248-991-0206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 S Johnson St Ste 2B",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "MI",
            "postal_code": "483411661",
            "country_code": "US",
            "telephone_number": "248-991-0204",
            "fax_number": "248-991-0206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WISDOM HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "BAHADUR",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-991-0204"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wisdom Home Health Care INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wisdom Home Health Care INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Beth Winowiecki, PTA, CLT
• Mark Winston
• Irene Janet Wintermyer, PA
• Tova E Winters, NP
• Ruthanne K Wirth, CRNA
• John Anthony Wise, FNP-C
• Susan Lynn Wise, LMSW
• Stephanie Wisniewski, TLLP
• Sydney Wisniewski
• Kelsey Wisotsky

• Home Health Agency in Southfield, MI
• Providers in Southfield, 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 14, 2022; 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.