Organization Active NPI

Forever Home Care LLC

  • Home Health Agency
  • Novi, MI
National Provider Identifier
1720383748
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FOREVER HOME CARE LLC
Practice address
39500 W 10 Mile Rd Ste 109
Novi, MI 48375-2947
Phone
(248) 900-1927
Fax
(586) 731-3209
NPI assigned
Jan 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Authorized official

Name
Fatema Moiz Bohra, RN
Title
Clinical Manager
Phone
(586) 731-6639

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

39500 W 10 Mile Rd Ste 109
Novi, MI 48375-2947

Mailing address

39500 W 10 Mile Rd Ste 109
Novi, MI 48375-2947
Phone (248) 900-1927

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110211000532 MI Part A Provider - Home Health Agency 3971783606 Practice locations: Novi, MI

Home health agency certification: CCN 239255

Legal name
FOREVER HOME CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 19, 2012
Last certification
Jul 1, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Dec 15, 2010 in MI
Enrollment address
39500 W 10 Mile Rd
Ste 109
Novi, MI 48375-2947

Care Compare: Home health agency

Medicare Care Compare
Listed as
Forever Home Care, LLCCCN 239255
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Sep 19, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, 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
23D2039534Forever Home Care LLC39500 W 10 Mile Road Suite 109, Novi, MI 48375Certificate of waiverApr 11, 2028

National Provider Directory

National Provider Directory

Locations

39500 W 10 Mile Rd
Ste 109
Novi, MI 48375
Phone (248) 900-1927

48645 Van Dyke Ave
Ste 109
Shelby Township, MI 48317
Phone (586) 567-0516

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
Moiz a Bohra Individual Corporate DirectorBoard Member May 31, 2023
W-2 Managing EmployeeAdministrator May 31, 2023
Fatema Bohra Individual 5% Or Greater Direct Ownership InterestPresident/Ceo, Clinical Manager May 31, 2023 100%
Corporate Officer May 31, 2023
Corporate DirectorBoard Member May 31, 2023
W-2 Managing Employee May 31, 2023
Operational/Managerial Control May 31, 2023

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

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 1

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": "1295740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1720383748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39500 W 10 MILE RD STE 109",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752947",
            "telephone_number": "248-900-1927",
            "fax_number": "586-731-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39500 W 10 MILE RD STE 109",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752947",
            "telephone_number": "248-900-1927",
            "fax_number": "586-731-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-23",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "BOHRA",
        "authorized_official_first_name": "FATEMA",
        "authorized_official_middle_name": "MOIZ",
        "authorized_official_title_or_position": "CLINICAL MANAGER",
        "authorized_official_telephone_number": "586-731-6639",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.