Organization Active NPI

Affiliated Home Health Care LLC

  • Home Health Agency
  • Novi, MI
National Provider Identifier
1255505863
Registry record updated Sep 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AFFILIATED HOME HEALTH CARE LLC
Practice address
40000 Grand River Ave Ste 305
Novi, MI 48375-2121
Phone
(248) 354-5000
Fax
(248) 354-5003
NPI assigned
Apr 15, 2008
Last updated
Sep 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2026

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

Authorized official

Name
Priscilla A Norris'Jackson
Title
Owner
Phone
(248) 354-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

40000 Grand River Ave Ste 305
Novi, MI 48375-2121

Mailing address

40000 Grand River Ave Ste 305
Novi, MI 48375-2121
Phone (248) 354-5000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090717000413 MI Part A Provider - Home Health Agency 0143397794 Practice locations: Farmington Hills, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255505863. Details of each certification follow.

Home health agency certification: CCN 239144

Legal name
AFFILIATED HOME HEALTH CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 29, 2010
Last certification
Aug 29, 2013
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
May 6, 2008 in MI
Enrollment address
23370 Commerce Dr
Ste 1
Farmington Hills, MI 48335-2726
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Affiliated Home Health Care, LLCCCN 239144 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Nov 29, 2010
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

23370 Commerce Dr
Ste 1
Farmington Hills, MI 48335
Phone (248) 354-5000

23370 Commerce Dr
Ste E
Farmington Hills, MI 48335

21455 Melrose Ave
Ste 9
Southfield, MI 48075
Phone (248) 354-5000

21455 Melrose Ave
Ste R9
Southfield, MI 48075

21654 Melrose Ave
Southfield, MI 48075
Phone (248) 352-7396

28345 Beck Rd
Ste 109
Wixom, MI 48393
Phone (248) 349-6300

Ownership & related parties

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.

NameRoleSinceShare
Priscilla a Jackson Individual 5% Or Greater Direct Ownership InterestDirector, Officer, Managing Empl Apr 8, 2008 100%
W-2 Managing Employee May 6, 2008

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788652800000",
    "number": "1255505863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40000 GRAND RIVER AVE STE 305",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752121",
            "telephone_number": "248-354-5000",
            "fax_number": "248-354-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40000 GRAND RIVER AVE STE 305",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752121",
            "telephone_number": "248-354-5000",
            "fax_number": "248-354-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2026-09-06",
        "certification_date": "2026-09-06",
        "status": "A",
        "authorized_official_last_name": "NORRIS'JACKSON",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-354-5000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.