Active NPI
Quality Home Health Care Services of Michigan,Inc.
- Home Health Agency
- Southfield, MI
National Provider Identifier
1407818172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 237482
- Legal business name
- QUALITY HOME HEALTH CARE SERVICES OF MICHIGAN,INC.
- Practice address
- 23800 West.Ten Mile Rd
Ste 250
Southfield, MI 48034 - Phone
- (248) 350-0014
- NPI assigned
- Apr 6, 2006
- 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. Michael C Gilliam, M.B.A.
- Title
- President/Ceo
- Phone
- (313) 410-8870
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 237482 | MI | Primary |
Addresses
Primary practice location
23800 West.Ten Mile Rd
Ste 250
Southfield, MI 48034
Mailing address
23800 West.Ten Mile Rd. Ste 250
Southfield, MI 48034
Phone (248) 350-0014
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100528000440 | MI | Part A Provider - Home Health Agency | 4082743000 | Practice locations: Southfield, MI |
Home health agency certification: CCN 237482
- Legal name
- QUALITY HOME HEALTH CARE SERVICES OF MICHIGAN,INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Mar 12, 2003
- Last certification
- Mar 13, 2003
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Dec 7, 2001 in MI
- Enrollment address
- 23800 W 10 Mile Rd
Ste 250
Southfield, MI 48033-3150
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Quality Home Health Care Services of Michigan
- Ownership
- Proprietary
- Certified
- Mar 12, 2003
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Occupational therapy
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 |
|---|---|---|---|
| 23D0998352 | Quality Home Health Care Services | Certificate of waiver | Apr 11, 2028 |
National Provider Directory
National Provider DirectoryLocations
23800 W 10 Mile Rd
Ste 250
Southfield, MI 48033
Phone (248) 304-4467
Ownership & related parties
All disclosed owners & managing parties 3
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 |
|---|---|---|---|
| Generosa F Agustin | 5% Or Greater Direct Ownership Interest | Apr 16, 2002 | 49% |
| Corporate Officer | Jun 2, 2020 | 33.03% | |
| Operational/Managerial Control | Jun 2, 2020 | 100% | |
| Mychael T. Gilliam | 5% Or Greater Direct Ownership Interest | Jun 2, 2020 | 25.5% |
| Corporate Officer | Jun 2, 2020 | 33.3% | |
| Sharde B. Gilliam | 5% Or Greater Direct Ownership Interest | Jun 2, 2020 | 25.5% |
| Corporate Officer | Jun 2, 2020 | 33.3% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1275004800000",
"number": "1407818172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23800 WEST.TEN MILE RD. STE 250",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "48034",
"telephone_number": "248-350-0014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23800 WEST.TEN MILE RD",
"address_2": "STE 250",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "48034",
"telephone_number": "248-350-0014"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUALITY HOME HEALTH CARE SERVICES OF MICHIGAN,INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-06",
"last_updated": "2010-05-28",
"status": "A",
"authorized_official_last_name": "GILLIAM",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "313-410-8870",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.B.A."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MI",
"license": "237482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
- Quality Chiro Care LLC
- Quality Comfort Care Services
- Quality Companion Home Health Care LLC
- Quality First Medical Supplies LLC
- Quality Foot & Ankle Clinic
- Quality Home Health Services of Southeast Michigan
- Quality Homecare LLC (Quality Home Care Michigan)
- Quantum Health Enterprises
- Quantum Labs
- Damien Quarles
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; 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.