Organization Active NPI

Rehabilitation One Home Health, LLC

  • Home Health Agency
  • Dearborn, MI
National Provider Identifier
1295742880
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on May 20, 2022

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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, LLCCCN 237697
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Aug 13, 2007
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

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.

NameRoleSinceShare
Haanei Shwehdi Individual 5% Or Greater Direct Ownership InterestOwner Jan 26, 2016 55%
Corporate OfficerCeo Jun 27, 2006
Corporate DirectorBoard Member Jun 27, 2006
W-2 Managing EmployeePresident Jun 27, 2006
Silvana Lila-Luniku Individual W-2 Managing EmployeeAdministrator Oct 9, 2015
Heithem Shwehdi Individual 5% Or Greater Direct Ownership InterestBoard Member, Marketing Director Jan 26, 2016 45%
Corporate DirectorBoard Member, Marketing Director Jan 26, 2016
Mohanraji Radhakrishnan Individual Contracted Managing EmployeeClinical Manager 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.

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": "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

Verify at the official NPI Registry.