Organization Active NPI

Paradise Home Health Care Inc

  • Home Health Agency
  • Farmington Hills, MI
National Provider Identifier
1407536568
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PARADISE HOME HEALTH CARE INC
Practice address
27620 Farmington Rd Ste B4
Farmington Hills, MI 48334-3366
Phone
(248) 893-7067
NPI assigned
Jul 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Authorized official

Name
Mr. Shahrukh Zaman Choudhry, MBA-MHA
Title
President
Phone
(248) 737-3736

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

27620 Farmington Rd Ste B4
Farmington Hills, MI 48334-3366

Mailing address

27620 Farmington Rd Ste B4
Farmington Hills, MI 48334-3366
Phone (248) 893-7067

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230901001446 MI Part A Provider - Home Health Agency 1557724952 Practice locations: Farmington Hills, MI

Home health agency certification: CCN 239360

Legal name
PARADISE HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 21, 2024
Last certification
Mar 7, 2024
Organization structure
CorporationProprietary
Incorporated
Jun 29, 2022 in MI
Enrollment address
27620 Farmington Rd
Ste B4
Farmington Hills, MI 48334-3366

Care Compare: Home health agency

Medicare Care Compare
Listed as
Paradise Home Health Care, IncCCN 239360 · All quality measures
Ownership
-
Certified
Mar 21, 2024
Medicare certification status
ActiveFrom the Provider of Services file

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
23D2298815Paradise Home Health Care Inc27620 Farmington Road Suite B4, Farmington Hills, MI 48334Certificate of waiverFeb 7, 2028

National Provider Directory

National Provider Directory

Locations

27620 Farmington Rd
Ste B4
Farmington Hills, MI 48334
Phone (248) 737-3736

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
Shahrukh Z Choudhry Individual 5% Or Greater Direct Ownership InterestAdministrator Jun 29, 2022 100%
Corporate OfficerAdministrator Jun 29, 2022 100%
W-2 Managing EmployeeAdministrator Jun 29, 2022 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": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1407536568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27620 FARMINGTON RD STE B4",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343366",
            "telephone_number": "248-893-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27620 FARMINGTON RD STE B4",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343366",
            "telephone_number": "248-893-7067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-22",
        "status": "A",
        "authorized_official_last_name": "CHOUDHRY",
        "authorized_official_first_name": "SHAHRUKH",
        "authorized_official_middle_name": "ZAMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-737-3736",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA-MHA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.