NPIMap

Organization Active NPI

Assured Hospice Care Inc

  • Community Based Hospice Care Agency
  • Southfield, MI
National Provider Identifier
1487953089
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ASSURED HOSPICE CARE INC
Practice address
25925 Telegraph Rd Ste 320
Southfield, MI 48033-2527
Phone
(248) 262-2205
Fax
(248) 864-8369
NPI assigned
Mar 22, 2011
Last updated
Apr 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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
(248) 262-2205

Specialties & licenses 1

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

Addresses

Primary practice location

25925 Telegraph Rd Ste 320
Southfield, MI 48033-2527

Mailing address

25925 Telegraph Rd Ste 320
Southfield, MI 48033-2527
Phone (248) 262-2205

Other names 1

  • Assured Home Care Inc Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110425000469 MI Part A Provider - Hospice 2163607722 Practice locations: Southfield, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487953089. Details of each certification follow.

Hospice certification: CCN 231626

Legal name
ASSURED HOSPICE CARE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 19, 2013
Last certification
Apr 19, 2013
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Nov 16, 2010 in MI
Enrollment address
25925 Telegraph Rd
Ste 320
Southfield, MI 48033-2518

Care Compare: Hospice

Medicare Care Compare
Listed as
Assured Hospice Care, IncCCN 231626 · All quality measures
Ownership
For-Profit
Certified
Apr 19, 2013
Medicare certification status
ActiveFrom the Provider of Services file

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
23D2021881Assured Hospice Care25925 Telegraph Road Suite 320, Southfield, MI 48033Certificate of waiverMar 22, 2027

National Provider Directory

National Provider Directory

Locations

25180 Lahser Rd
Ste 200
Southfield, MI 48033

25925 Telegraph Rd
Ste 320
Southfield, MI 48033
Phone (248) 262-2205

30747 Greenfield Rd
Southfield, MI 48076
Phone (248) 593-9426

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Mohammad Z Haque Individual 5% Or Greater Direct Ownership Interest Mar 23, 2011 50%
Corporate OfficerVice President Mar 23, 2011 50%
Corporate DirectorBoard Member Mar 23, 2011 50%
Vijay K Sahore Individual 5% Or Greater Direct Ownership Interest Mar 23, 2011 50%
Corporate OfficerPresident Mar 23, 2011 50%
W-2 Managing EmployeeAdministrator Mar 23, 2011 50%
Shabeta Sahore Individual Corporate DirectorMedical Director Jul 21, 2014
Elizabeth Lawson Individual W-2 Managing EmployeeExecutive Director Mar 17, 2014

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 13

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1487953089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25925 TELEGRAPH RD STE 320",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480332527",
            "telephone_number": "248-262-2205",
            "fax_number": "248-864-8369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25925 TELEGRAPH RD STE 320",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480332527",
            "telephone_number": "248-262-2205",
            "fax_number": "248-864-8369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURED HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-22",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "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": "248-262-2205",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assured Home Care Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.