Corpore Sano Home Health Care Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CORPORE SANO HOME HEALTH CARE INC.

Practice address

39475 Ann Arbor Rd E
Plymouth, MI 48170-4524

Phone

(734) 454-3488

Fax

(734) 454-3599

NPI assigned

Oct 1, 2015

Organization subpart

No

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

Authorized official

Name

Mihaela Burnea-Brazdau

Title

Owner/Administrator

Phone

(734) 454-3488

Specialties & licenses 1

Addresses

Other names 1

• Corpore Sano Home Health & Hospice Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• CS Mi Opco LLC

  • Community Based Hospice Care Agency
  • Livonia, MI
  • NPI 1689304685

  Sold to, 2022-06-01

  CMS change of ownership

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1619347754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39475 ANN ARBOR RD E",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704524",
            "telephone_number": "734-454-3488",
            "fax_number": "734-454-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39475 ANN ARBOR RD E",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704524",
            "telephone_number": "734-454-3488",
            "fax_number": "734-454-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPORE SANO HOME HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-01",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "BURNEA-BRAZDAU",
        "authorized_official_first_name": "MIHAELA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "734-454-3488"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corpore Sano Home Health & Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Corpore Sano Home Health & Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gerald Cordova
• Megan C Corlett, CCP
• Brooke Cornelius
• Corpore Sano Home Health Care Inc.
• Corpore Sano Home Health Care Inc.
• Brian Cosimano
• Peter J Cote
• Patrick Cotton
• Diane Course, M.A., BCBA
• Lindsay Coville

• All providers in Plymouth, MI
• Community Based Hospice Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.