NPIMap

Organization Active NPI

Care First Homecare, LLC

Doing business as Axiom Home Care

  • Home Health Agency
  • Southgate, MI
National Provider Identifier
1902082688
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CARE FIRST HOMECARE, LLC
Doing business as
Axiom Home Care
Practice address
12815 Northline Rd
Southgate, MI 48195-1109
Phone
(734) 324-3166
Fax
(866) 422-4071
NPI assigned
Jan 12, 2008
Last updated
Aug 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Authorized official

Name
Mr. Imran Khan
Title
President & Ceo
Phone
(734) 324-3166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

12815 Northline Rd
Southgate, MI 48195-1109

Mailing address

12815 Northline Rd
Southgate, MI 48195-1109
Phone (734) 324-3166

Other names 1

  • Axiom Home Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@axiomhomecare.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080312000306 MI Part A Provider - Home Health Agency 7113002304 Practice locations: Southgate, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902082688. Details of each certification follow.

Home health agency certification: CCN 239018

Legal name
CARE FIRST HOMECARE, LLC
Doing business as
AXIOM CARES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 21, 2009
Last certification
Apr 21, 2009
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Feb 14, 2008 in MI
Enrollment address
12815 Northline Rd
Southgate, MI 48195-1109
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Axiom Home CareCCN 239018 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Apr 21, 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
23D1093255Care First Homecare LLC12815 Northline Road, Southgate, MI 48195Certificate of waiverDec 14, 2026

National Provider Directory

National Provider Directory

Locations

4700 Greenfield Rd
Fl 2
Dearborn, MI 48126
Phone (734) 324-3166

20600 Eureka Rd
Ste 520
Taylor, MI 48180
Phone (734) 324-3166

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
Imran a Khan Individual 5% Or Greater Direct Ownership InterestPresident/Administrator Feb 1, 2013 100%
Corporate OfficerPresident,Board Member Feb 14, 2008
Corporate DirectorBoard Member Feb 14, 2008
W-2 Managing EmployeeAdministrator Apr 1, 2010 50%
Taylor Cameron Yates Individual Corporate DirectorDirector of Clinical Services Jan 8, 2024 50%

Practitioners & affiliated clinicians

Affiliated clinicians 8

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": "1200096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1902082688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12815 NORTHLINE RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951109",
            "telephone_number": "734-324-3166",
            "fax_number": "866-422-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12815 NORTHLINE RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951109",
            "telephone_number": "734-324-3166",
            "fax_number": "866-422-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE FIRST HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-12",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "IMRAN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "734-324-3166",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@axiomhomecare.com",
            "affiliation": "N",
            "endpointDescription": "Office Monitored E-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12815 Northline Rd",
            "city": "Southgate",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481951109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Axiom Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Axiom Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southgate, MI

Sources for this page

Verify at the official NPI Registry.