Organization Active NPI

Caring Nurses of Michigan, Inc

  • Home Health Agency
  • Novi, MI
National Provider Identifier
1386714020
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CARING NURSES OF MICHIGAN, INC
Practice address
39475 W 13 Mile Rd
Suite 100
Novi, MI 48377-2301
Phone
(248) 482-1142
Fax
(248) 482-1149
NPI assigned
Nov 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Mark A Smith
Title
Director of Operations
Phone
(248) 482-1142

Specialties & licenses 1

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

Addresses

Primary practice location

39475 W 13 Mile Rd
Suite 100
Novi, MI 48377-2301

Mailing address

39475 W 13 Mile Rd
Suite 100
Novi, MI 48377-2301
Phone (248) 482-1142

Other identifiers 1

IdentifierTypeStateIssuer
OE889OtherMIBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070320000610 MI Part A Provider - Home Health Agency 2961505565 Practice locations: Troy, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386714020. Details of each certification follow.

Home health agency certification: CCN 237268

Legal name
CARING NURSES OF MICHIGAN, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 12, 1995
Last certification
Oct 4, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Oct 27, 1994 in MI
Enrollment address
803 W Big Beaver Rd
Ste 357
Troy, MI 48084-4734
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Caring Nurses of Michigan, IncCCN 237268 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Mar 12, 1995
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
23D0894007Caring Nurses of Michigan, Inc803 Big Beaver Road Suite 357, Troy, MI 48084Certificate of waiverDec 9, 2027

National Provider Directory

National Provider Directory

Locations

39475 W 13 Mile Rd
Ste 100
Novi, MI 48377
Phone (248) 355-1142

23300 Greenfield Rd
Ste 213
Oak Park, MI 48237
Phone (248) 591-4916

803 W Big Beaver Rd
Ste 357
Troy, MI 48084
Phone (248) 965-3722

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
Mahmood Amir Individual Corporate DirectorBoard Member Jul 20, 2022 100%
W-2 Managing EmployeeAdministrator Jul 20, 2022 100%
Operational/Managerial ControlBoard Member Jul 20, 2022 100%
Charito I Sunga Individual 5% Or Greater Direct Ownership Interest Sep 16, 2015 100%
Corporate OfficerCeo Sep 16, 2015 100%
Corporate DirectorBoard Member Sep 16, 2015 100%

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386714020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39475 W 13 MILE RD",
            "address_2": "SUITE 100",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772301",
            "telephone_number": "248-482-1142",
            "fax_number": "248-482-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39475 W 13 MILE RD",
            "address_2": "SUITE 100",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772301",
            "telephone_number": "248-482-1142",
            "fax_number": "248-482-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING NURSES OF MICHIGAN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "248-482-1142",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "OE889",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.