Organization Active NPI

Health Wise Home Health Care Inc

  • Home Health Agency
  • Lathrup Village, MI
National Provider Identifier
1720013774
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEALTH WISE HOME HEALTH CARE INC
Practice address
17401 West 12 Mile Rd
Ste a
Lathrup Village, MI 48076-2135
Phone
(248) 569-9473
Fax
(248) 569-9577
NPI assigned
Jul 11, 2006
Last updated
Dec 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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

Authorized official

Name
Mrs. Yvonne Chappus, RN
Title
Administrator
Phone
(248) 569-9473

Specialties & licenses 1

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

Addresses

Primary practice location

17401 West 12 Mile Rd
Ste a
Lathrup Village, MI 48076-2135

Mailing address

17401 West 12Mile Rd
Ste a
Lathrup Village, MI 48075-2135
Phone (248) 569-9473

Other identifiers 2

IdentifierTypeStateIssuer
OE961OtherBCBS
15-4567408MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20021220000013 MI Part A Provider - Home Health Agency 9739097833 Practice locations: Lathrup Village, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720013774. Details of each certification follow.

Home health agency certification: CCN 237485

Legal name
HEALTH WISE HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 24, 2003
Last certification
Apr 5, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Aug 20, 2002 in MI
Enrollment address
17401 West 12 Mile Rd
Ste a
Lathrup Village, MI 48076-2135

Care Compare: Home health agency

Medicare Care Compare
Listed as
Health Wise Home Health CareCCN 237485 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jun 24, 2003
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
23D1004528Health Wise Home Health Care, Inc17401 W 12 Mile Road Suite a, Lathrup Village, MI 48076Certificate of waiverSep 29, 2026

National Provider Directory

National Provider Directory

Locations

17401 W 12 Mile Rd
Ste A
Lathrup Village, MI 48076
Phone (248) 352-3352

23100 Providence Dr
Ste 151
Southfield, MI 48075
Phone (249) 869-9473

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Yvonne Chappus Individual 5% Or Greater Direct Ownership Interest Aug 20, 2002 100%
Corporate OfficerPresident Administrator Aug 20, 2002
W-2 Managing EmployeePresident Administrator Aug 20, 2002 100%
Operational/Managerial ControlPresident Administrator Aug 20, 2002
Matthew B Chappus Individual Corporate OfficerCeo Secretary Aug 20, 2002
Corporate Director May 7, 2004
W-2 Managing Employee Aug 20, 2002
Operational/Managerial ControlCeo Secretary Aug 20, 2002

Practitioners & affiliated clinicians

Affiliated clinicians 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1720013774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17401 WEST 12MILE RD",
            "address_2": "STE A",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480752135",
            "telephone_number": "248-569-9473",
            "fax_number": "248-569-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17401 WEST 12 MILE RD",
            "address_2": "STE A",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762135",
            "telephone_number": "248-569-9473",
            "fax_number": "248-569-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH WISE HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "CHAPPUS",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-569-9473",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "OE961",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15-4567408",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lathrup Village, MI

Sources for this page

Verify at the official NPI Registry.