Organization Active NPI

Eastern Michigan Home Health Care, PC

  • Home Health Agency
  • Royal Oak, MI
National Provider Identifier
1285817957
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Apr 1, 2019

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
Incorporated
Nov 1, 2007 in MI
Enrollment address
4045 W 13 Mile Rd
Ste D
Royal Oak, MI 48073-6640
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Eastern Michigan Home HealthcareCCN 239079 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Oct 16, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D1087083Eastern Michigan Home Health Care PC4045 W 13 Mile Rd, Royal Oak, MI 48073Certificate of waiverJul 24, 2028

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Ikram U Haq Individual 5% Or Greater Direct Ownership Interest Nov 1, 2007 100%
Corporate Director Apr 23, 2008
W-2 Managing EmployeeAdministrator/ Ceo 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

Verify at the official NPI Registry.