Organization Active NPI

Oakland Home Care, LLC

  • Home Health Agency
  • West Bloomfield, MI
National Provider Identifier
1437278629
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
OAKLAND HOME CARE, LLC
Practice address
7125 Orchard Lake Rd
Suite 201
West Bloomfield, MI 48322-3615
Phone
(248) 865-9418
Fax
(248) 865-9420
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7125 Orchard Lake Rd
Suite 201
West Bloomfield, MI 48322-3615

Mailing address

7125 Orchard Lake Rd
Suite 201
West Bloomfield, MI 48322-3615
Phone (248) 865-9418

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040413000255 MI Part A Provider - Home Health Agency 3577557545 Practice locations: West Bloomfield, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437278629. Details of each certification follow.

Home health agency certification: CCN 237547

Legal name
OAKLAND HOME CARE, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 17, 2004
Last certification
Nov 18, 2004
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Feb 19, 2004 in MI
Enrollment address
7125 Orchard Lake Rd
Ste 222
West Bloomfield, MI 48322-3616

Care Compare: Home health agency

Medicare Care Compare
Listed as
Oakland Home CareCCN 237547 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Nov 17, 2004
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
23D1024188Oakland Home Care LLC7125 Orchard Lake Suite 201, West Bloomfield, MI 48322Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

32000 Northwestern Hwy
Ste 230
Farmington Hills, MI 48334
Phone (248) 865-9418

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Robert T Louis-Ferdinand Individual W-2 Managing EmployeeExecutive Director Feb 8, 2016
Operational/Managerial ControlAdministrator Feb 8, 2016
Amardeep S Grewal Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2012 11.11%
Mary Lubin Individual W-2 Managing EmployeeDirector of Nursing Jan 20, 2016
Reena K Grewal Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2012 11.11%
GSG Family LLC Organization, West Bloomfield, MI For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2012 33.34%
LSG Family LLC Organization, West Bloomfield, MI For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2012 33.33%
JSG Family LLC Organization, West Bloomfield, MI For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2012 33.33%
Pulvinder K Grewal Individual 5% Or Greater Indirect Ownership Interest Jan 12, 2012 11.11%
Operational/Managerial ControlCoo Aug 8, 2011
Kulvinder K Hijazin Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2012 11.11%
Rajinderpal S Grewal Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2012 11.11%
Operational/Managerial Control May 1, 2017
Ajitpal S Grewal Individual 5% Or Greater Indirect Ownership Interest Mar 15, 2011 11.11%
Corporate OfficerChief Financial Officer May 15, 2015 11%
Avtar S Grewal Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2012 11.11%
Operational/Managerial Control May 1, 2017
Sarwan S. Grewal Income Property Trust Organization, West Bloomfield, MI Corporation 5% Or Greater Indirect Ownership Interest Jan 1, 2012 11.11%
Mandeep K Malhotra Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2012 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.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 4

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": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1437278629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7125 ORCHARD LAKE RD",
            "address_2": "SUITE 201",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223615",
            "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",
            "address_2": "SUITE 201",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223615",
            "telephone_number": "248-865-9418",
            "fax_number": "248-865-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2015-04-29",
        "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",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "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.