Active NPI
Rehabilitation One Home Health, LLC
- Home Health Agency
- Dearborn, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- REHABILITATION ONE HOME HEALTH, LLC
- Practice address
- 22720 Michigan Ave Ste 100
Dearborn, MI 48124-2035 - Phone
- (313) 565-2224
- NPI assigned
- Aug 3, 2006
- 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
- Haanei Shwehdi
- Title
- Ceo
- Phone
- (313) 565-2224
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
22720 Michigan Ave Ste 100
Dearborn, MI 48124-2035
Mailing address
22720 Michigan Ave Ste 100
Dearborn, MI 48124-2035
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060920000377 | MI | Part A Provider - Home Health Agency | 2769487008 | Practice locations: Dearborn, MI |
Home health agency certification: CCN 237697
- Legal name
- REHABILITATION ONE HOME HEALTH, LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 13, 2007
- Last certification
- Aug 13, 2007
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Jun 27, 2006 in MI
- Enrollment address
- 22720 Michigan Ave
Ste 100
Dearborn, MI 48124-2035
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Rehabilitation One Home Health, LLC
- Overall star rating
- Ownership
- Proprietary
- Certified
- Aug 13, 2007
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
21031 Michigan Ave
#C
Dearborn, MI 48124
Phone 3132776700370
22720 Michigan Ave
Ste 100
Dearborn, MI 48124
Phone (313) 565-2224
22234 Ford Rd
Ste 1
Dearborn Heights, MI 48127
Phone (313) 565-2224
Ownership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| Haanei Shwehdi | 5% Or Greater Direct Ownership Interest | Jan 26, 2016 | 55% |
| Corporate Officer | Jun 27, 2006 | ||
| Corporate Director | Jun 27, 2006 | ||
| W-2 Managing Employee | Jun 27, 2006 | ||
| Silvana Lila-Luniku | W-2 Managing Employee | Oct 9, 2015 | |
| Heithem Shwehdi | 5% Or Greater Direct Ownership Interest | Jan 26, 2016 | 45% |
| Corporate Director | Jan 26, 2016 | ||
| Mohanraji Radhakrishnan | Contracted Managing Employee | Jan 4, 2019 |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Dearborn, MI
- NPI 1013412493
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Orthopaedic Surgery of the Spine Physician
- Dearborn, MI
- NPI 1952374282
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653004800000",
"number": "1295742880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22720 MICHIGAN AVE STE 100",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22720 MICHIGAN AVE STE 100",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242035",
"telephone_number": "313-565-2224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REHABILITATION ONE HOME HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-03",
"last_updated": "2022-05-20",
"certification_date": "2022-05-20",
"status": "A",
"authorized_official_last_name": "SHWEHDI",
"authorized_official_first_name": "HAANEI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "313-565-2224"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.