Organization Active NPI

Senior Home Care Connections LLC

  • Home Health Agency
  • Lincoln Park, MI
National Provider Identifier
1508196171
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Apr 3, 2014

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
Incorporated
Aug 27, 2009 in MI
Enrollment address
2075 Fort St
Ste 200
Lincoln Park, MI 48146-2195
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Senior Home Care ConnectionsCCN 239192 · All quality measures
Ownership
Proprietary
Certified
Sep 22, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Physical 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
23D2138089Senior Home Care Connections LLC2075 Fort Street Suite 200, Lincoln Park, MI 48146Certificate of waiverOct 9, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Muhammad Hanif Individual Contracted Managing EmployeeCeo/Board of Director Jan 1, 2022 100%
5% Or Greater Direct Ownership Interest Jan 1, 2022 100%
Corporate OfficerCeo/Board of Director Jan 1, 2022 100%
Corporate DirectorCeo/Board of Director Jan 1, 2022 100%
W-2 Managing EmployeeCeo/Board of Director Jan 1, 2022 100%
Operational/Managerial ControlCeo/Board of Director Jan 1, 2022 100%
OtherCeo/Board of Director 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.

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

Verify at the official NPI Registry.