Organization Active NPI

Nova Home Health Care, Inc.

  • Home Health Agency
  • Canton, MI
National Provider Identifier
1669771705
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NOVA HOME HEALTH CARE, INC.
Practice address
5820 N Canton Center Rd Ste 180
Canton, MI 48187-2680
Phone
(313) 595-8061
NPI assigned
Mar 15, 2011
Last updated
Mar 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Authorized official

Name
Mr. Khalid Akhlaq
Title
President
Phone
(313) 595-8061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

5820 N Canton Center Rd Ste 180
Canton, MI 48187-2680

Mailing address

5820 N Canton Center Rd Ste 180
Canton, MI 48187-2680
Phone (313) 595-8061

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110428000468 MI Part A Provider - Home Health Agency 3476738857 Practice locations: Rochester Hills, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669771705. Details of each certification follow.

Home health agency certification: CCN 239244

Legal name
NOVA HOME HEALTH CARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 7, 2012
Last certification
Aug 30, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Feb 16, 2011 in MI
Enrollment address
3345W Auburn Rd 204
Rochester Hills, MI 48309-5502

Care Compare: Home health agency

Medicare Care Compare
Listed as
Nova Home Health Care, IncCCN 239244 · All quality measures
Ownership
Proprietary
Certified
Aug 7, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy

National Provider Directory

National Provider Directory

Locations

3345 W Auburn Rd
Ste 204
Rochester Hills, MI 48309
Phone (248) 564-2404

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
Heena Y Haroon Individual 5% Or Greater Direct Ownership InterestPresident Oct 21, 2015 100%
Corporate OfficerPresident Oct 21, 2015 100%
Corporate DirectorBoard Member Oct 21, 2015 100%
W-2 Managing EmployeeCeo/Administrator Oct 21, 2015 100%

NPI Registry JSON

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1669771705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 N CANTON CENTER RD STE 180",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872680",
            "telephone_number": "313-595-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 N CANTON CENTER RD STE 180",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872680",
            "telephone_number": "313-595-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "AKHLAQ",
        "authorized_official_first_name": "KHALID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-595-8061",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

Verify at the official NPI Registry.