Organization Active NPI

Aquarius Home Care, LLC

  • Home Health Agency
  • Warren, MI
National Provider Identifier
1871772780
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
Incorporated
Oct 25, 2007 in MI
Enrollment address
29698 Dequindre Rd
Warren, MI 48092-2194
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Aquarius Home Care, LLCCCN 239034 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Apr 16, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D1076182Aquarius Home Care LLC29698 Dequindre Road, Warren, MI 48092Certificate of waiverNov 6, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Mihai Ilie Toroiman Individual 5% Or Greater Indirect Ownership InterestAdministrator Jan 17, 2024 51%
W-2 Managing EmployeeAd; Jan 17, 2024 51%
Aleah Mariano Individual W-2 Managing EmployeeDirector of Nursing Jan 17, 2024
Snehal J Mehta Individual Other Jan 17, 2024 3%
Katherine E Zapata Viloria Individual Other Jan 17, 2024 3%
Avotre Health LLC Organization, Warren, MI Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 17, 2024 100%
Balaji Pillai Individual 5% Or Greater Indirect Ownership Interest Jan 17, 2024 20%
Hemal I Modi Individual 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.

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

Verify at the official NPI Registry.