Organization Active NPI

Avanti Home Health Care PLLC

  • Home Health Agency
  • Livonia, MI
National Provider Identifier
1891904405
Registry record updated Jul 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
23-7668 Issued in MI
Legal business name
AVANTI HOME HEALTH CARE PLLC
Practice address
37650 Professional Center Dr
Ste 145-a
Livonia, MI 48154-1197
Phone
(734) 779-9900
Fax
(734) 779-9100
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2012

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

Authorized official

Name
Dr. Stella S Evangelista, M.D.
Title
Administrator
Phone
(734) 779-9900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 23-7668 MI Primary

Addresses

Primary practice location

37650 Professional Center Dr
Ste 145-a
Livonia, MI 48154-1197

Mailing address

37650 Professional Center Dr
Ste 145-a
Livonia, MI 48154-1197
Phone (734) 779-9900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030319000002 MI Part A Provider - Home Health Agency 2668381815 Practice locations: Novi, MI

Home health agency certification: CCN 237668

Legal name
AVANTI HOME HEALTH CARE PLLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 4, 2007
Last certification
Nov 18, 2006
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
31215 Novi Rd
Novi, MI 48377-4515

Care Compare: Home health agency

Medicare Care Compare
Listed as
Avanti Home Health CareCCN 237668
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Jan 4, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

37650 Professional Center Dr
Ste 145A
Livonia, MI 48154
Phone (734) 779-9900

6089 W Maple Rd
#250A
West Bloomfield, MI 48322
Phone (248) 855-4400

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Stella S Evangelista Individual 5% Or Greater Direct Ownership Interest Feb 20, 2003 100%
Corporate OfficerCeo Feb 20, 2003 100%
Corporate DirectorBoard Member Feb 20, 2003 100%
Christopher R Salgado Individual W-2 Managing EmployeeDirector of Nursing (Don) Aug 8, 2021 100%
Operational/Managerial ControlDirector of Nursing Aug 8, 2011 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 4

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": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342396800000",
    "number": "1891904405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37650 PROFESSIONAL CENTER DR",
            "address_2": "STE 145-A",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541197",
            "telephone_number": "734-779-9900",
            "fax_number": "734-779-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37650 PROFESSIONAL CENTER DR",
            "address_2": "STE 145-A",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541197",
            "telephone_number": "734-779-9900",
            "fax_number": "734-779-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANTI HOME HEALTH CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2012-07-16",
        "status": "A",
        "authorized_official_last_name": "EVANGELISTA",
        "authorized_official_first_name": "STELLA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "734-779-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "23-7668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.