Southeast Home Health Care, L.L.C

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

5501004980 Issued in MI

Legal business name

SOUTHEAST HOME HEALTH CARE, L.L.C

Practice address

26771 W. 12 Mile Rd., Suite # 103a
Southfield, MI 48034-1508

Phone

(248) 356-2222

NPI assigned

Dec 27, 2007

Last updated

Mar 11, 2010By 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

Mr. Sanjay Uppal, P.T, MHSNPI 1508827544

Title

Partner

Phone

(248) 895-1320

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 1891979779. Details of each certification follow.

• CCN 239064 Home health agency · Active · Details

Home health agency certification: CCN 239064

Legal name

SOUTHEAST HOME HEALTH CARE, L.L.C

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 28, 2009

Last certification

Jul 30, 2015

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Sep 18, 2007 in MI

Enrollment address

26771 W 12 Mile Rd
Ste 103a
Southfield, MI 48034-1508
HHA Branch

Listed as

Southeast Home Health CareCCN 239064 · All quality measures

Ownership

Proprietary

Certified

Aug 28, 2009

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 2

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

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Archana Uppal, P.T, MHS

  • Physical Therapist
  • Southfield, MI
  • NPI 1871554816

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership
• Sanjay Uppal, P.T, MHS

  • Physical Therapist
  • Southfield, MI
  • NPI 1508827544

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership

Practitioners 2

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.

• Sanjay Uppal, P.T, MHS

  • Physical Therapist
  • Southfield, MI
  • NPI 1508827544
  Authorized official Same address or phone
• Archana Uppal, P.T, MHS

  • Physical Therapist
  • Southfield, MI
  • NPI 1871554816
  NPD

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1891979779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26771 W. 12 MILE RD.",
            "address_2": "103A",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341508",
            "telephone_number": "248-356-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26771 W. 12 MILE RD., SUITE # 103A",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341508",
            "telephone_number": "248-356-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST HOME HEALTH CARE, L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "UPPAL",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "248-895-1320",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T, MHS"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "5501004980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anthony Southall, MD
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• Southfield Center for Intergrated Musculoskeletal Injury PC
• Southfield City Urgent Care PC
• Southfield Dental Care P.C.
• Southfield Dental Center PC

• 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 Mar 11, 2010; 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.