NPIMap

Organization Active NPI

1St State Home Healthcare Inc.

  • Home Health Agency
  • Saginaw, MI
National Provider Identifier
1255524971
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
5501013144 Issued in MI
Legal business name
1ST STATE HOME HEALTHCARE INC.
Practice address
138 Harrow LN Ste 2
Saginaw, MI 48638-6061
Phone
(989) 401-7501
Fax
(989) 401-7502
NPI assigned
Aug 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Authorized official

Name
Mr. Abdul MajeedNPI 1629943709
Title
Administrator
Phone
(989) 401-7501

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 5501013144 MI Primary

Addresses

Primary practice location

138 Harrow LN Ste 2
Saginaw, MI 48638-6061

Mailing address

138 Harrow LN Suite 2
Saginaw, MI 48638-6061
Phone (989) 401-7501

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120927000816 MI Part A Provider - Home Health Agency 2264527423 Practice locations: Saginaw, MI

Home health agency certification: CCN 239290

Legal name
1ST STATE HOME HEALTHCARE INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 8, 2013
Last certification
Jun 8, 2013
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
May 23, 2006 in MI
Enrollment address
138 Harrow LN
Ste 2
Saginaw, MI 48638-6061

Care Compare: Home health agency

Medicare Care Compare
Listed as
1St State Home Healthcare, IncCCN 239290
Ownership
Proprietary
Certified
Jun 8, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Physical therapy

National Provider Directory

National Provider Directory
Tax ID family
1St State Home Healthcare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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
Zahida S Majeed Individual W-2 Managing EmployeeOffice Manager Nov 4, 2010 50%
Abdul Majeed Individual 5% Or Greater Direct Ownership Interest May 23, 2006 100%
Corporate OfficerPresident, Board Member May 23, 2006 100%
Corporate DirectorBoard Member May 23, 2006 100%
W-2 Managing EmployeeAdministrator Nov 4, 2010 50%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Abdul Majeed
    • Physical Therapist
    • Saginaw, MI
    • NPI 1629943709

    5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

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": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1255524971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 HARROW LN SUITE 2",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486386061",
            "telephone_number": "989-401-7501",
            "fax_number": "989-401-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 HARROW LN STE 2",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486386061",
            "telephone_number": "989-401-7501",
            "fax_number": "989-401-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST STATE HOME HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "MAJEED",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "989-401-7501",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "5501013144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.