Organization Active NPI

John Paul Home Care, LLC

  • Home Health Agency
  • Bingham Farms, MI
National Provider Identifier
1609896208
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
JOHN PAUL HOME CARE, LLC
Practice address
30600 Telegraph Rd
Suite 2370
Bingham Farms, MI 48025-4530
Phone
(248) 731-7457
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Authorized official

Name
Mr. Jason Growe
Title
Ceo
Phone
(314) 325-1176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

30600 Telegraph Rd
Suite 2370
Bingham Farms, MI 48025-4530

Mailing address

30600 Telegraph Rd
Suite 2370
Bingham Farms, MI 48025-4530
Phone (248) 731-7457

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060901000174 MI Part A Provider - Home Health Agency 0244234334 Practice locations: Bingham Farms, MI

Home health agency certification: CCN 237659

Legal name
JOHN PAUL HOME CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 16, 2007
Last certification
Oct 25, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Oct 28, 2005 in MI
Enrollment address
30800 Telegraph Rd
Ste 3700
Bingham Farms, MI 48025-4583
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
John Paul Home Health CareCCN 237659
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Mar 16, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, 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
23D1049946John Paul Home Care, LLC30800 Telegraph Road Suite 3700, Bingham Farms, MI 48025Certificate of waiverJan 22, 2028

National Provider Directory

National Provider Directory

Locations

30600 Telegraph Rd
Ste 2370
Bingham Farms, MI 48025
Phone (248) 731-7457

15565 Northland Dr W
Ste 803
Southfield, MI 48075
Phone (248) 423-1212

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Bpea VI LP Organization, Boston, MA For-profit 5% Or Greater Indirect Ownership Interest Feb 22, 2024 16.3%
Encore Investment Group LLC Organization, Clayton, MO LLC, For-profit 5% Or Greater Indirect Ownership Interest Feb 22, 2024 9.34%
Jason Brett Growe Individual Corporate OfficerManager Feb 22, 2024
Operational/Managerial ControlManager Feb 22, 2024
Lance Sitto Individual W-2 Managing EmployeeAdministrator Jul 1, 2020
Livewell Topco Inc. Organization, Clayton, MO Corporation, For-profit 5% Or Greater Indirect Ownership Interest Feb 22, 2024 100%
Camino Partners Ventures LLC Organization, Austin, TX LLC, For-profit 5% Or Greater Indirect Ownership Interest Feb 22, 2024 40.67%
Encore Partners Home Health LP Organization, Clayton, MO For-profit 5% Or Greater Indirect Ownership Interest Feb 22, 2024 91.6%
Livewell Partners Ultimate Holdings, LLC Organization, Clayton, MO LLC, For-profit 5% Or Greater Indirect Ownership Interest Feb 22, 2024 100%
Patrick Kinaya Individual W-2 Managing EmployeeBusiness Manager Jan 1, 2008
Livewell Partners Holdings Inc Organization, Clayton, MO Corporation, For-profit 5% Or Greater Direct Ownership Interest Feb 22, 2024 100%

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1609896208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30600 TELEGRAPH RD",
            "address_2": "SUITE 2370",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254530",
            "telephone_number": "248-731-7457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30600 TELEGRAPH RD",
            "address_2": "SUITE 2370",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254530",
            "telephone_number": "248-731-7457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN PAUL HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "GROWE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-325-1176",
        "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 Bingham Farms, MI

Sources for this page

Verify at the official NPI Registry.