NPIMap

Organization Active NPI

Mid Michigan Home Health Care,Inc

  • Home Health Agency
  • Flint, MI
National Provider Identifier
1720034820
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MID MICHIGAN HOME HEALTH CARE,INC
Practice address
1020 Professional Dr BLDG B
Flint, MI 48532-3635
Phone
(810) 732-9528
Fax
(810) 732-9548
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Authorized official

Name
Mr. Asif ZeeshanNPI 1679264121
Title
Owner
Phone
(810) 732-9528

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

1020 Professional Dr BLDG B
Flint, MI 48532-3635

Mailing address

1020 Professional Dr
Suite 5, Building a
Flint, MI 48532-3635
Phone (810) 732-9528

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060728000114 MI Part A Provider - Home Health Agency 5799798229 Practice locations: Flint, MI

Home health agency certification: CCN 237704

Legal name
MID MICHIGAN HOME HEALTH CARE,INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 13, 2007
Last certification
Sep 13, 2007
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Dec 16, 2005 in MI
Enrollment address
1020 Professional Dr
BLDG B
Flint, MI 48532-3635

Care Compare: Home health agency

Medicare Care Compare
Listed as
Mid Michigan Home Health CareCCN 237704
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Sep 13, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

1020 Professional Dr
Bldg B
Flint, MI 48532
Phone (810) 732-9528

1020 Professional Dr
Ste 5
Flint, MI 48532

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Angline Pennell Individual Corporate DirectorDirector of Nursing Mar 10, 2020
W-2 Managing EmployeeDirector of Nursing Mar 10, 2020
Mohammad Chaudhri Individual 5% Or Greater Direct Ownership InterestBoard Member Apr 18, 2006
Corporate DirectorBoard Member Apr 18, 2006
Asif Zeeshan Individual 5% Or Greater Direct Ownership Interest Apr 18, 2006
Corporate Director Apr 18, 2006
W-2 Managing Employee Apr 18, 2006
Naseema Rani Individual 5% Or Greater Direct Ownership InterestBoard Member Apr 18, 2006
Corporate DirectorBoard Member Apr 18, 2006

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 4

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

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550707200000",
    "number": "1720034820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 PROFESSIONAL DR",
            "address_2": "SUITE 5, BUILDING A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323635",
            "telephone_number": "810-732-9528",
            "fax_number": "810-732-9548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 PROFESSIONAL DR BLDG B",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323635",
            "telephone_number": "810-732-9528",
            "fax_number": "810-732-9548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID MICHIGAN HOME HEALTH CARE,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2019-02-21",
        "status": "A",
        "authorized_official_last_name": "ZEESHAN",
        "authorized_official_first_name": "ASIF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-732-9528",
        "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 Flint, MI

Sources for this page

Verify at the official NPI Registry.