Organization Active NPI

St. Mary Home Health Services LLC

  • Home Health Agency
  • Madison Heights, MI
National Provider Identifier
1386946564
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ST. MARY HOME HEALTH SERVICES LLC
Practice address
28051 Dequindre Rd Ste B
Madison Heights, MI 48071-3016
Phone
(248) 291-5921
Fax
(248) 291-5936
NPI assigned
Nov 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Authorized official

Name
Dina Kamal Asmar
Title
Owner
Phone
(619) 402-7927

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

28051 Dequindre Rd Ste B
Madison Heights, MI 48071-3016

Mailing address

28051 Dequindre Rd Ste B
Madison Heights, MI 48071-3016
Phone (248) 291-5921

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101228000198 MI Part A Provider - Home Health Agency 6901094465 Practice locations: Madison Heights, MI

Home health agency certification: CCN 239259

Legal name
ST. MARY HOME HEALTH SERVICES LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 7, 2012
Last certification
Nov 7, 2012
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Nov 15, 2010 in MI
Enrollment address
28051 Dequindre Rd
Ste B
Madison Heights, MI 48071-3016
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
St Mary Home Health ServicesCCN 239259 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Nov 7, 2012
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
23D2023084St Mary Home Health Services LLC28051 Dequindre Road Suite B, Madison Heights, MI 48071Certificate of waiverApr 13, 2027

National Provider Directory

National Provider Directory

Locations

28051 Dequindre Rd
Ste B
Madison Heights, MI 48071
Phone (248) 291-5921

33975 Dequindre Rd
Ste 101
Troy, MI 48083
Phone (248) 291-5921

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
Dina Asmar Individual 5% Or Greater Direct Ownership InterestOwner Dec 13, 2021 100%
W-2 Managing Employee Dec 13, 2021

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 1

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": "1290384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1386946564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28051 DEQUINDRE RD STE B",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713016",
            "telephone_number": "248-291-5921",
            "fax_number": "248-291-5936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28051 DEQUINDRE RD STE B",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713016",
            "telephone_number": "248-291-5921",
            "fax_number": "248-291-5936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-22",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "ASMAR",
        "authorized_official_first_name": "DINA",
        "authorized_official_middle_name": "KAMAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-402-7927"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

Verify at the official NPI Registry.