Proactive Home Health Care Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROACTIVE HOME HEALTH CARE SERVICES LLC

Practice address

52188 Van Dyke Ave Ste 201a-2
Shelby Township, MI 48316-3567

Phone

(586) 991-3139

Fax

(586) 204-0295

NPI assigned

Apr 12, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Rabia Khan

Title

Ceo

Phone

(586) 785-0622

Specialties & licenses 1

Addresses

Other names 1

• PROACTIVE HOME HEALTH CARE SERVICES LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Home health agency certification: CCN 239353

Legal name

PROACTIVE HOME HEALTH CARE SERVICES LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 30, 2023

Last certification

Oct 13, 2023

Organization structure

LLCProprietary

Incorporated

Feb 7, 2023 in MI

Enrollment address

52188 Van Dyke Ave
Ste 201a-2
Shelby Township, MI 48316-3567

Listed as

Proactive Home Health Care Services, LLCCCN 239353

Overall star rating

1.5 of 5

Ownership

-

Certified

Oct 30, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 1

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

Affiliated clinicians 2

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

• Ashraf Khouchen

  • Nurse Practitioner
  • Harper Woods, MI
  • NPI 1780468710

  Home health agency

  Care Compare affiliation
• Ishrat Parvez

  • Acute Care Nurse Practitioner
  • Detroit, MI
  • NPI 1720818479

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1831885029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 S ROCHESTER RD # 1104",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073534",
            "telephone_number": "586-991-3139",
            "fax_number": "586-204-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52188 VAN DYKE AVE STE 201A-2",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483163567",
            "telephone_number": "586-991-3139",
            "fax_number": "586-204-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE HOME HEALTH CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "RABIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "586-785-0622",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROACTIVE HOME HEALTH CARE SERVICES LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Anne Price, NP
• Pride Home Health
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• Pro-Fit Medical Supply, LLC
• Proactive Home Care LLC
• Proactive Hospice Care, LLC.
• Professuinal Rehabilitation Center Inc.
• Prosperity Home Care LLC
• Christopher Robert Provenzano, MD
• Melissa Provenzano

• All providers in Shelby Township, MI
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.