Active NPI
Senior Home Care Connections LLC
- Home Health Agency
- Lincoln Park, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SENIOR HOME CARE CONNECTIONS LLC
- Practice address
- 2075 Fort St Ste 200
Lincoln Park, MI 48146-2195 - Phone
- (313) 914-4651
- Fax
- (313) 914-4658
- NPI assigned
- Jan 5, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Abrar Hussain Hanif
- Title
- Owner
- Phone
- (313) 294-9465
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
2075 Fort St Ste 200
Lincoln Park, MI 48146-2195
Mailing address
2075 Fort St Ste 200
Lincoln Park, MI 48146-2195
Phone (313) 294-9465
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140317001335 | MI | Part A Provider - Home Health Agency | 9133350119 | Practice locations: Lincoln Park, MI |
Home health agency certification: CCN 239192
- Legal name
- SENIOR HOME CARE CONNECTIONS, LLC
- Doing business as
- HOME HEALTH CARE CONNECTIONS LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Sep 22, 2011
- Last certification
- Oct 8, 2020
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Aug 27, 2009 in MI
- Enrollment address
- 2075 Fort St
Ste 200
Lincoln Park, MI 48146-2195
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Senior Home Care Connections
- Ownership
- Proprietary
- Certified
- Sep 22, 2011
- Medicare certification status
- Active
- Services
- Nursing, Physical therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2138089 | Senior Home Care Connections LLC | Certificate of waiver | Oct 9, 2027 |
National Provider Directory
National Provider DirectoryLocations
2075 Fort St
Ste 200
Lincoln Park, MI 48146
Phone (313) 294-9465
2925 E Michigan Ave
#A
Ypsilanti, MI 48198
Phone (734) 480-1006
2925 E Michigan Ave
#E2
Ypsilanti, MI 48198
Phone (734) 480-1006
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Muhammad Hanif | Contracted Managing Employee | Jan 1, 2022 | 100% |
| 5% Or Greater Direct Ownership Interest | Jan 1, 2022 | 100% | |
| Corporate Officer | Jan 1, 2022 | 100% | |
| Corporate Director | Jan 1, 2022 | 100% | |
| W-2 Managing Employee | Jan 1, 2022 | 100% | |
| Operational/Managerial Control | Jan 1, 2022 | 100% | |
| Other | Jan 1, 2022 | 100% |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapy Assistant
- Staten Island, NY
- NPI 1366070997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1396483200000",
"number": "1508196171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2075 FORT ST STE 200",
"city": "LINCOLN PARK",
"state": "MI",
"postal_code": "481462195",
"telephone_number": "313-294-9465",
"fax_number": "313-294-9466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2075 FORT ST STE 200",
"city": "LINCOLN PARK",
"state": "MI",
"postal_code": "481462195",
"telephone_number": "313-914-4651",
"fax_number": "313-914-4658"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENIOR HOME CARE CONNECTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-05",
"last_updated": "2014-04-03",
"status": "A",
"authorized_official_last_name": "HANIF",
"authorized_official_first_name": "ABRAR",
"authorized_official_middle_name": "HUSSAIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "313-294-9465",
"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 Lincoln Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.