NPIMap

Organization Active NPI

Oakland Hospice LLC

  • Community Based Hospice Care Agency
  • West Bloomfield, MI
National Provider Identifier
1417423351
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
OAKLAND HOSPICE LLC
Practice address
7125 Orchard Lake Rd Ste 201
West Bloomfield, MI 48322-3630
Phone
(248) 865-9418
Fax
(248) 865-9420
NPI assigned
Oct 18, 2018
Reactivated
Feb 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Authorized official

Name
Pulvinder Grewal
Title
Owner
Phone
(248) 865-9418

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

7125 Orchard Lake Rd Ste 201
West Bloomfield, MI 48322-3630

Mailing address

7125 Orchard Lake Rd Ste 201
West Bloomfield, MI 48322-3630
Phone (248) 865-9418

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190504000038 MI Part A Provider - Hospice 0143562504 Practice locations: West Bloomfield, MI

Hospice certification: CCN 231664

Legal name
OAKLAND HOSPICE, LLC
Doing business as
SVEN MEDICAL BILLING
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 8, 2018
Last certification
Jan 8, 2018
Ownership / control type
Proprietary - Individual
Organization structure
LLCProprietary
Incorporated
Sep 28, 2018 in MI
Enrollment address
7125 Orchard Lake Rd
Ste 222
West Bloomfield, MI 48322-3616

Care Compare: Hospice

Medicare Care Compare
Listed as
Oakland HospiceCCN 231664 · All quality measures
Ownership
For-Profit
Certified
Jan 8, 2018
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Genesee Community Hospice Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Amardeep S Grewal Individual 5% Or Greater Indirect Ownership Interest Sep 28, 2018 11.11%
GSG Holding LLC Organization, West Bloomfield, MI LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Sep 28, 2018 33.33%
Reena K Grewal Individual 5% Or Greater Indirect Ownership Interest Sep 28, 2018 11.11%
GSG Family LLC Organization, West Bloomfield, MI LLC, For-profit 5% Or Greater Indirect Ownership Interest Sep 28, 2018 33.33%
JSG Holding LLC Organization, West Bloomfield, MI LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Sep 28, 2018 33.33%
LSG Family LLC Organization, West Bloomfield, MI LLC, For-profit 5% Or Greater Indirect Ownership Interest Sep 28, 2018 33.33%
LSG Holding LLC Organization, West Bloomfield, MI LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Sep 28, 2018 33.33%
JSG Family LLC Organization, West Bloomfield, MI LLC, For-profit 5% Or Greater Indirect Ownership Interest Sep 28, 2018 33.33%
Pulvinder K Grewal Individual 5% Or Greater Indirect Ownership Interest Sep 28, 2018 11.11%
Operational/Managerial ControlCeo Feb 15, 2019 33.34%
Kulvinder K Hijazin Individual 5% Or Greater Indirect Ownership Interest Sep 28, 2018 11.11%
Rajinderpal S Grewal Individual 5% Or Greater Indirect Ownership Interest Sep 28, 2018 11.11%
Operational/Managerial Control Feb 15, 2019 33.33%
Ajitpal S Grewal Individual 5% Or Greater Indirect Ownership Interest Sep 28, 2018 11.11%
Operational/Managerial ControlCfo Feb 15, 2019 33.33%
Brenda Kassees Individual W-2 Managing EmployeeAd; Apr 25, 2022
Avtar S Grewal Individual 5% Or Greater Indirect Ownership Interest Sep 28, 2018 11.11%
Mirza Beg Individual Contracted Managing EmployeeMD; Aug 15, 2022
Sarwan S. Grewal Income Property Trust Organization, West Bloomfield, MI 5% Or Greater Indirect Ownership Interest Sep 28, 2018 11.11%
Mandeep K Malhotra Individual 5% Or Greater Indirect Ownership Interest Sep 28, 2018 11.11%

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

  • Oakland Home Care, LLC
    • Home Health Agency
    • West Bloomfield, MI
    • NPI 1437278629

    GSG Family LLC, JSG Family LLC, LSG Family LLC, Sarwan S. Grewal Income Property Trust

    CMS ownership

Change-of-ownership history 1

DateEventCounterparty
Feb 15, 2019 Change of OwnershipThis provider was the buyer Genesee Community Hospice Care LLCCCN 231664, MI, NPI 1558802736

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

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 3

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": "1539820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550016000000",
    "number": "1417423351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7125 ORCHARD LAKE RD STE 201",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223630",
            "telephone_number": "248-865-9418",
            "fax_number": "248-865-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 ORCHARD LAKE RD STE 201",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223630",
            "telephone_number": "248-865-9418",
            "fax_number": "248-865-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-18",
        "last_updated": "2019-02-13",
        "deactivation_date": "2019-01-19",
        "reactivation_date": "2019-02-13",
        "status": "A",
        "authorized_official_last_name": "GREWAL",
        "authorized_official_first_name": "PULVINDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-865-9418"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.