Active NPI
Aquarius Home Care, LLC
- Home Health Agency
- Warren, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- AQUARIUS HOME CARE, LLC
- Practice address
- 29698 Dequindre Rd
Warren, MI 48092-2194 - Phone
- (586) 576-1955
- Fax
- (586) 576-1956
- NPI assigned
- Oct 26, 2007
- Last updated
- Jan 17, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mihai Toroiman, RN
- Title
- Administrator
- Phone
- (586) 576-1955
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
29698 Dequindre Rd
Warren, MI 48092-2194
Mailing address
29698 Dequindre Rd
Warren, MI 48092-2194
Phone (586) 576-1955
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080422000939 | MI | Part A Provider - Home Health Agency | 8426136003 | Practice locations: Warren, MI |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1871772780. Details of each certification follow.
Home health agency certification: CCN 239034
- Legal name
- AQUARIUS HOME CARE, LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Apr 16, 2009
- Last certification
- Jan 29, 2021
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Oct 25, 2007 in MI
- Enrollment address
- 29698 Dequindre Rd
Warren, MI 48092-2194
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Aquarius Home Care, LLC
- Overall star rating
- Ownership
- Proprietary
- Certified
- Apr 16, 2009
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D1076182 | Aquarius Home Care LLC | Certificate of waiver | Nov 6, 2027 |
National Provider Directory
National Provider DirectoryLocations
2551 E 12 Mile Rd
Warren, MI 48092
29698 Dequindre Rd
Warren, MI 48092
Phone (586) 576-1955
3200 E 12 Mile Rd
Ste 204
Warren, MI 48092
Phone (586) 576-1955
Ownership & related parties
All disclosed owners & managing parties 7
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Mihai Ilie Toroiman | 5% Or Greater Indirect Ownership Interest | Jan 17, 2024 | 51% |
| W-2 Managing Employee | Jan 17, 2024 | 51% | |
| Aleah Mariano | W-2 Managing Employee | Jan 17, 2024 | |
| Snehal J Mehta | Other | Jan 17, 2024 | 3% |
| Katherine E Zapata Viloria | Other | Jan 17, 2024 | 3% |
| Avotre Health LLC | 5% Or Greater Direct Ownership Interest | Jan 17, 2024 | 100% |
| Balaji Pillai | 5% Or Greater Indirect Ownership Interest | Jan 17, 2024 | 20% |
| Hemal I Modi | Other | Jan 17, 2024 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- Mount Morris, MI
- NPI 1023169026
Home health agency
-
- Family Medicine Physician
- Sterling Heights, MI
- NPI 1104981695
Home health agency
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Rochester Hills, MI
- NPI 1174637938
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705449600000",
"number": "1871772780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29698 DEQUINDRE RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480922194",
"telephone_number": "586-576-1955",
"fax_number": "586-576-1956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29698 DEQUINDRE RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480922194",
"telephone_number": "586-576-1955",
"fax_number": "586-576-1956"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AQUARIUS HOME CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-26",
"last_updated": "2024-01-17",
"certification_date": "2024-01-17",
"status": "A",
"authorized_official_last_name": "TOROIMAN",
"authorized_official_first_name": "MIHAI",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "586-576-1955",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.