Active NPI
Paradise Home Health Care Inc
- Home Health Agency
- Farmington Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, Inc
- Ownership
- -
- Certified
- Mar 21, 2024
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2298815 | Paradise Home Health Care Inc | Certificate of waiver | Feb 7, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Shahrukh Z Choudhry | 5% Or Greater Direct Ownership Interest | Jun 29, 2022 | 100% |
| Corporate Officer | Jun 29, 2022 | 100% | |
| W-2 Managing Employee | Jun 29, 2022 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- Farmington Hills, MI
- NPI 1649262353
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.