Purple Heart Home Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

02343N Issued in MI

Legal business name

PURPLE HEART HOME HEALTH CARE INC

Practice address

26645 W 12 Mile Rd
Suite # 107a
Southfield, MI 48034-1540

Phone

(248) 797-5293

NPI assigned

May 21, 2009

Last updated

May 21, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Riaz HussainNPI 1780117424

Title

President

Phone

(248) 797-5293

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871728667. Details of each certification follow.

• CCN 239264 Home health agency · Active · Details

Home health agency certification: CCN 239264

Legal name

PURPLE HEART HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 26, 2012

Last certification

Nov 26, 2012

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Apr 30, 2009 in MI

Enrollment address

26645 W 12 Mile Rd
Ste 107
Southfield, MI 48034-7811
HHA Branch

Listed as

Purple Heart Home Health CareCCN 239264 · All quality measures

Overall star rating

3.5 of 5

Ownership

Proprietary

Certified

Nov 26, 2012

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

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.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Riaz Hussain

  • Case Manager/Care Coordinator
  • Southfield, MI
  • NPI 1780117424
  NPD Authorized official

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1871728667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26645 W 12 MILE RD",
            "address_2": "SUITE # 107A",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26645 W 12 MILE RD",
            "address_2": "SUITE # 107A",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341540",
            "telephone_number": "248-797-5293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPLE HEART HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-21",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "RIAZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-797-5293"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "02343N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pure Psychiatry of Michigan PLLC
• Pure Reflections Counseling Center
• Vinod K Puri, MD
• Purple Butterfly L.L.C
• Purple Door Counseling PLLC
• Vinoth Purusothaman, PT
• Jony Joseph Puthenedathumadathil, RPT
• Emil Putrus, M.D.
• Rahul Puttagunta, MD
• Kristinia Melissa Pye, LLPC

• 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 May 21, 2009; 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.