NPIMap

Organization Active NPI

Care One Home Health Services, Inc.

  • Home Health Agency
  • Wyoming, MI
National Provider Identifier
1447205331
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 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
Last updated
May 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Mr. Vijay K Sahore
Title
President
Phone
(616) 719-4440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447205331. Details of each certification follow.

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
CorporationProprietary
Incorporated
Dec 5, 2005 in MI
Enrollment address
2305 E Paris Ave SE
Ste 202
Grand Rapids, MI 49546-2426
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Care One Home Health ServicesCCN 237647 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Feb 22, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, 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
23D1052928Care One Home Health Services Inc2305 E Paris SE Suite 202, Grand Rapids, MI 49546Certificate of waiverApr 9, 2028

National Provider Directory

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

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.

NameRoleSinceShare
Rajesh Marwaha Individual 5% Or Greater Direct Ownership Interest Jan 28, 2015 100%
Corporate OfficerPresident Board of Directors Jan 28, 2015 100%
Corporate DirectorBoard Member Jan 28, 2015 100%
W-2 Managing EmployeeCeo/President Jan 28, 2015 100%

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 7

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": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1447205331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 44TH ST SW",
            "address_2": "SUITE 500",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495194200",
            "telephone_number": "616-719-4440",
            "fax_number": "616-719-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 44TH ST SW",
            "address_2": "SUITE 500",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495194200",
            "telephone_number": "616-719-4440",
            "fax_number": "616-719-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE ONE HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "SAHORE",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-719-4440",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

Verify at the official NPI Registry.