Community Home Health Care of Michigan, Inc.
Organization Active NPI Home Health Agency · White Cloud, MI
NPI 1780638734 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1780638734
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- COMMUNITY HOME HEALTH CARE OF MICHIGAN, INC.
- Practice address
- 175 S Gibbs St
White Cloud, MI 49349-9401 - Phone
- (231) 689-6675
- Fax
- (231) 689-5038
- NPI assigned
- May 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Aaron Leestma
- Title
- Administrator
- Phone
- (231) 689-6675
Facilities with the same owner 4
Affiliated clinicians 7
-
Timothy M Bont, M.D.
-
Randall J. Ceton, M.D.
-
Robert Gunnell, MD
-
Christopher J. Hudson, M.D.
-
Sarah Weers, MD
Medicare Care Compare: Home health agency
- Listed as
- Community Home Care Services
- Overall star rating
- ★★★☆☆ 2.5 of 5
- Ownership
- Proprietary
- Certified
- Sep 20, 1966
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D0982905 | Community Home Health Care Services | Certificate of waiver | Feb 7, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Home health agency certification: CCN 237035
- Legal name
- COMMUNITY HOME HEALTH CARE OF MICHIGAN, INC.
- Doing business as
- COMMUNITY HOME CARE SERVICES
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Sep 20, 1966
- Last certification
- May 15, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation · Proprietary
- Incorporated
- Aug 25, 1997 in MI
- Enrollment address
- 183 W River Valley Dr
Newaygo, MI 49337-9330
All disclosed owners & managing parties 6
| Name | Role | Since | Share |
|---|---|---|---|
| The Homecare Group LLC |
Operational/Managerial Control | Sep 6, 2018 | |
| Isaac J Leestma |
Corporate Officer |
Nov 21, 2021 | |
| Operational/Managerial Control |
Nov 21, 2021 | ||
| Marc S Leestma |
Contracted Managing Employee |
Apr 26, 2006 | |
| Operational/Managerial Control |
Apr 26, 2006 | ||
| Jennifer E Leestma |
W-2 Managing Employee |
Jan 1, 2024 | |
| Operational/Managerial Control |
Jan 1, 2024 | ||
| Shannon Grabe |
W-2 Managing Employee |
Nov 11, 2019 | |
| Operational/Managerial Control |
Nov 11, 2019 | ||
| Ruth E Leestma |
5% Or Greater Direct Ownership Interest |
Mar 1, 2006 | 100% |
| Corporate Officer |
Mar 1, 2006 | ||
| Corporate Director |
Mar 1, 2006 | ||
| Operational/Managerial Control |
Mar 1, 2006 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060710000312 | MI | Part a Provider - Home Health Agency | 1658384870 | Practice locations: Newaygo, MI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | MI | Yes |
Addresses
Primary practice location
175 S Gibbs St
White Cloud, MI 49349-9401
Mailing address
175 S Gibbs St
White Cloud, MI 49349-9401
Phone (231) 689-6675
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5174002 | Medicaid | MI |
Other providers in White Cloud, MI
- Rhonda S Byrne
- Megan Ann Caltagirone
- Kristi Love Chaffee
- Sarah Chvala
- Janell Lynn Colao
- Kaitlyn Cool
- Tammy Jane Cornelius
- Crisma Coronado
- County of Newaygo
- Roni M Crisman
All providers in White Cloud, MI · Home Health Agency in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.