Care One Home Health Services, Inc.
Organization Active NPI Home Health Agency · Wyoming, MI
NPI 1447205331 · NPPES record last updated May 5, 2008
Key facts
- NPI
- 1447205331
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- CARE ONE HOME HEALTH SERVICES, INC.
- Practice address
- 2660 44TH St SW
Suite 500
Wyoming, MI 49519-4200 - Phone
- (616) 719-4440
- Fax
- (616) 719-4406
- NPI assigned
- May 23, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Vijay K Sahore
- Title
- President
- Phone
- (616) 719-4440
Practitioners 2
-
Rajesh Marwaha, P.T.
Affiliated clinicians 7
-
Brittany J Devries, AGNP
-
William H Dukes, MD
-
Brook G. Hanson, PA-C
-
Dana E Harmon, NP
-
Andrea Sylvester, NP
-
Samuel Terranova, NP
Medicare Care Compare: Home health agency
- Listed as
- Care One Home Health Services
- Overall star rating
- ★★★★☆ 4 of 5
- Ownership
- Proprietary
- Certified
- Feb 22, 2007
- Medicare certification status
- Active
- Services
- Nursing, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D1052928 | Care One Home Health Services Inc | Certificate of waiver | Apr 9, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MI
Home health agency certification: CCN 237647
- Legal name
- CARE ONE HOME HEALTH SERVICES, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Feb 22, 2007
- Last certification
- Feb 22, 2007
- Ownership / control type
- Proprietary
- Organization structure
- Corporation · Proprietary
- Incorporated
- Dec 5, 2005 in MI
- Enrollment address
- 2305 E Paris Ave SE
Ste 202
Grand Rapids, MI 49546-2426
All disclosed owners & managing parties 1
| Name | Role | Since | Share |
|---|---|---|---|
| Rajesh Marwaha |
5% Or Greater Direct Ownership Interest | Jan 28, 2015 | 100% |
| Corporate Officer |
Jan 28, 2015 | 100% | |
| Corporate Director |
Jan 28, 2015 | 100% | |
| W-2 Managing Employee |
Jan 28, 2015 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060608000271 | MI | Part a Provider - Home Health Agency | 1254343312 | Practice locations: Grand Rapids, MI |
| O20101006000694 | MI | Part B Supplier - Mass Immunization (Roster Biller Only) | 1254343312 | Practice locations: Wyoming, MI |
National Provider Directory
Locations
2305 East Paris Ave SE
Ste 202
Grand Rapids, MI 49546
Phone (616) 256-0671
2660 44th St SW
Ste 500
Wyoming, MI 49519
Phone (616) 719-4440
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
2660 44TH St SW
Suite 500
Wyoming, MI 49519-4200
Mailing address
2660 44TH St SW
Suite 500
Wyoming, MI 49519-4200
Phone (616) 719-4440
Other providers in Wyoming, MI
- Karyn Campbell
- Scott Michael Canepa
- Clarissa Lynn Capel
- Amanda Caponigro
- Pamela Sue Cappella
- Mechon C Carew
- Mark Alan Carey
- Heidi Carlson
- Olivia Grace Carpenter
- Jack Neerken Carr
All providers in Wyoming, MI · Home Health Agency in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.