Spirit Home Health Care, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SPIRIT HOME HEALTH CARE, INC

Doing business as

Spirit Home Health Care

Practice address

17348 W 12 Mile Rd Ste 106
Southfield, MI 48076-6325

Phone

(248) 996-9202

Fax

(248) 996-9460

NPI assigned

Jul 13, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Neil Bahura

Title

President

Phone

(313) 917-7979

Specialties & licenses 1

Addresses

Other names 1

• Spirit Home Health Care Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Home health agency certification: CCN 239363

Legal name

SPIRIT HOME HEALTH CARE INC

Doing business as

SPIRIT HOME HEALTH CARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 10, 2024

Last certification

Aug 22, 2024

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jun 30, 2022 in MI

Enrollment address

17348 W 12 Mile Rd
Ste 106
Southfield, MI 48076-6325

Listed as

Spirit Home Health CareCCN 239363

Ownership

Proprietary

Certified

Sep 10, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1841924198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17348 W 12 MILE RD STE 106",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480766325",
            "telephone_number": "248-996-9202",
            "fax_number": "248-996-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17348 W 12 MILE RD STE 106",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480766325",
            "telephone_number": "248-996-9202",
            "fax_number": "248-996-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRIT HOME HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-13",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "BAHURA",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-917-7979",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spirit Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spirit Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Southfield, MI
• Providers in Southfield, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.