Organization Active NPI

Central Home Health Care, Inc.

  • Home Health Agency
  • Southfield, MI
National Provider Identifier
1780681908
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CENTRAL HOME HEALTH CARE, INC.
Practice address
20245 W 12 Mile Rd
Ste 100
Southfield, MI 48076-9920
Phone
(248) 569-5410
NPI assigned
Jul 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Vijay Walvekar
Title
Controller
Phone
(248) 569-5410

Specialties & licenses 1

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

Addresses

Primary practice location

20245 W 12 Mile Rd
Ste 100
Southfield, MI 48076-9920

Mailing address

20245 W 12 Mile Rd
Ste 100
Southfield, MI 48076-9920

Other identifiers 2

IdentifierTypeStateIssuer
OE-852OtherMIBCBS
1677587MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070228000762 MI Part A Provider - Home Health Agency 5698877108 Practice locations: Southfield, MI

Home health agency certification: CCN 237180

Legal name
CENTRAL HOME HEALTH CARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 14, 1985
Last certification
Jan 7, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 15, 1985 in MI
Enrollment address
20245 W 12 Mile Rd
Ste 100
Southfield, MI 48076-6406
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Central Home Health CareCCN 237180
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Jun 14, 1985
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

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
Vijay S Walvekar Individual 5% Or Greater Direct Ownership Interest Feb 12, 2007 25%
W-2 Managing EmployeeVP Controller Jan 15, 1985 25%
Suprina V Walvekar Individual 5% Or Greater Direct Ownership Interest Jun 18, 1999 25%
W-2 Managing Employee Mar 12, 2012
Sheel Walvekar Individual 5% Or Greater Direct Ownership Interest Jun 18, 1999 25%
W-2 Managing EmployeeAsst Adminstrator Jun 18, 1999 25%
Shalini V Walvekar Individual 5% Or Greater Direct Ownership Interest Jan 5, 1985 25%
W-2 Managing EmployeePresident Administrator Jan 15, 1985 35%

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780681908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20245 W 12 MILE RD",
            "address_2": "STE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480769920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20245 W 12 MILE RD",
            "address_2": "STE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480769920",
            "telephone_number": "248-569-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALVEKAR",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "248-569-5410",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "OE-852",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1677587",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.