Active NPI
Home Care Wellness LLC
- Home Health Agency
- Lincoln Park, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- HOME CARE WELLNESS LLC
- Practice address
- 25050 Outer Dr
Suite 204
Lincoln Park, MI 48146-1297 - Phone
- (313) 586-4111
- Fax
- (313) 556-2225
- NPI assigned
- Jan 31, 2011
- 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
- Mr. Waqas Rashid
- Title
- Administrator/Ceo
- Phone
- (313) 586-4111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
25050 Outer Dr
Suite 204
Lincoln Park, MI 48146-1297
Mailing address
25050 Outer Dr
Suite 204
Lincoln Park, MI 48146-1297
Phone (313) 586-4111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110305000081 | MI | Part A Provider - Home Health Agency | 4385826858 | Practice locations: Taylor, MI |
Home health agency certification: CCN 239245
- Legal name
- HOME CARE WELLNESS, LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jul 27, 2012
- Last certification
- Jul 10, 2015
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Nov 19, 2010 in MI
- Enrollment address
- 10272 Telegraph Rd
Ste a
Taylor, MI 48180-3330
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Home Care Wellness, LLC
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jul 27, 2012
- 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 |
|---|---|---|---|
| 23D2020929 | Home Care Wellness LLC | Certificate of waiver | Mar 1, 2027 |
National Provider Directory
National Provider DirectoryLocations
22146 Ford Rd
#B1B
Dearborn Heights, MI 48127
Phone (313) 586-4111
25050 Outer Dr
Ste 103
Lincoln Park, MI 48146
Phone (313) 586-4111
25050 Outer Dr
Ste 204
Lincoln Park, MI 48146
Phone (734) 667-3478
24333 Southfield Rd
Ste 201
Southfield, MI 48075
Phone (313) 586-4111
10272 Telegraph Rd
Ste A
Taylor, MI 48180
Phone (313) 586-4111
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Sameera Shafiq | Operational/Managerial Control | Nov 1, 2014 | 100% |
| Waqas Rashid | 5% Or Greater Direct Ownership Interest | Oct 15, 2015 | 100% |
| Corporate Officer | Oct 15, 2015 | 100% | |
| Operational/Managerial Control | Oct 15, 2015 | 100% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1465948800000",
"number": "1912203563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25050 OUTER DR",
"address_2": "SUITE 204",
"city": "LINCOLN PARK",
"state": "MI",
"postal_code": "481461297",
"telephone_number": "313-586-4111",
"fax_number": "313-556-2225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25050 OUTER DR",
"address_2": "SUITE 204",
"city": "LINCOLN PARK",
"state": "MI",
"postal_code": "481461297",
"telephone_number": "313-586-4111",
"fax_number": "313-556-2225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME CARE WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-31",
"last_updated": "2016-06-15",
"status": "A",
"authorized_official_last_name": "RASHID",
"authorized_official_first_name": "WAQAS",
"authorized_official_title_or_position": "ADMINISTRATOR/CEO",
"authorized_official_telephone_number": "313-586-4111",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.