Active NPI
Eastern Michigan Home Health Care, PC
- Home Health Agency
- Royal Oak, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- EASTERN MICHIGAN HOME HEALTH CARE, PC
- Practice address
- 4045 W 13 Mile Rd
Suite D
Royal Oak, MI 48073-6640 - Phone
- (248) 397-8096
- NPI assigned
- Dec 17, 2007
- 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
- Mr. Ikram Haq, P.T.
- Title
- Owner/Administrator
- Phone
- (248) 397-8096
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
4045 W 13 Mile Rd
Suite D
Royal Oak, MI 48073-6640
Mailing address
4045 W 13 Mile Rd
Suite D
Royal Oak, MI 48073-6640
Phone (248) 397-8096
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080207000171 | MI | Part A Provider - Home Health Agency | 6406939933 | Practice locations: Royal Oak, MI |
Home health agency certification: CCN 239079
- Legal name
- EASTERN MICHIGAN HOME HEALTH CARE, PC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Oct 16, 2009
- Last certification
- Sep 4, 2015
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Nov 1, 2007 in MI
- Enrollment address
- 4045 W 13 Mile Rd
Ste D
Royal Oak, MI 48073-6640
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Eastern Michigan Home Healthcare
- Overall star rating
- Ownership
- Proprietary
- Certified
- Oct 16, 2009
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D1087083 | Eastern Michigan Home Health Care PC | Certificate of waiver | Jul 24, 2028 |
National Provider Directory
National Provider DirectoryLocations
4045 W 13 Mile Rd
Ste D
Royal Oak, MI 48073
Phone (248) 397-8096
17700 Northland Park Ct
Ste 22
Southfield, MI 48075
Phone (248) 569-2647
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Ikram U Haq | 5% Or Greater Direct Ownership Interest | Nov 1, 2007 | 100% |
| Corporate Director | Apr 23, 2008 | ||
| W-2 Managing Employee | Nov 1, 2007 | 100% |
Practitioners & affiliated clinicians
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": "1197849600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554076800000",
"number": "1285817957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4045 W 13 MILE RD",
"address_2": "SUITE D",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480736640",
"telephone_number": "248-397-8096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4045 W 13 MILE RD",
"address_2": "SUITE D",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480736640",
"telephone_number": "248-397-8096"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTERN MICHIGAN HOME HEALTH CARE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-17",
"last_updated": "2019-04-01",
"status": "A",
"authorized_official_last_name": "HAQ",
"authorized_official_first_name": "IKRAM",
"authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
"authorized_official_telephone_number": "248-397-8096",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.