Organization Active NPI

Mobility Plus Home Health Care, Inc.

  • Home Health Agency
  • Warren, MI
National Provider Identifier
1619960291
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MOBILITY PLUS HOME HEALTH CARE, INC.
Practice address
5701 Chicago Rd
Suite D
Warren, MI 48092-5033
Phone
(586) 978-9850
Fax
(586) 978-9851
NPI assigned
Aug 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Sanjay Rattan, RPTNPI 1962612770
Title
Administrator
Phone
(586) 978-9850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5701 Chicago Rd
Suite D
Warren, MI 48092-5033

Mailing address

5701 Chicago Rd
Suite D
Warren, MI 48092-5033
Phone (586) 978-9850

Other identifiers 2

IdentifierTypeStateIssuer
OE936OtherMIBLUE CROSS BLUE SHIELD MI
4454351MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030205000002 MI Part A Provider - Home Health Agency 4880503507 Practice locations: Warren, MI

Home health agency certification: CCN 237473

Legal name
MOBILITY PLUS HOME HEALTH CARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 14, 2002
Last certification
Aug 14, 2002
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 16, 2002 in MI
Enrollment address
5701 Chicago Rd
Ste D
Warren, MI 48092-5033

Care Compare: Home health agency

Medicare Care Compare
Listed as
Mobility Plus Home Health CareCCN 237473
Ownership
Proprietary
Certified
Aug 14, 2002
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
23D0998347Mobility Plus Home Health Care, Inc5701 Chicago Road, Suite D, Warren, MI 48092Certificate of waiverApr 11, 2028

National Provider Directory

National Provider Directory

Locations

5701 Chicago Rd
Ste D
Warren, MI 48092
Phone (586) 978-9850

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Sanjay Rattan Individual 5% Or Greater Direct Ownership Interest Jan 16, 2002 100%
Corporate OfficerCeo / Administrator Jan 16, 2002 100%
Corporate DirectorCeo Jan 16, 2002 100%
Operational/Managerial ControlAdministrator Jan 16, 2002 100%
Alka Khindri-Rattan Individual Corporate OfficerSecretary / Alternate Administr Jan 1, 2009 100%
Corporate DirectorSecretary / Alternate Administr Jan 1, 2009 100%
Sumeet Seth Individual Corporate DirectorDirector of Operations Jan 1, 2009 100%
W-2 Managing EmployeeDirector of Operations Jan 1, 2009 100%

Practitioners & affiliated clinicians

Practitioners 4

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": "1125273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619960291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 CHICAGO RD",
            "address_2": "SUITE D",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480925033",
            "telephone_number": "586-978-9850",
            "fax_number": "586-978-9851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 CHICAGO RD",
            "address_2": "SUITE D",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480925033",
            "telephone_number": "586-978-9850",
            "fax_number": "586-978-9851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY PLUS HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RATTAN",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "586-978-9850",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MI",
            "identifier": "OE936",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4454351",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.