Organization Active NPI

Home Care Wellness LLC

  • Home Health Agency
  • Lincoln Park, MI
National Provider Identifier
1912203563
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jun 15, 2016

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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, LLCCCN 239245
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jul 27, 2012
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
23D2020929Home Care Wellness LLC10272 Telegraph Road Suite a, Taylor, MI 48180Certificate of waiverMar 1, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Sameera Shafiq Individual Operational/Managerial ControlDirector of Nursing Nov 1, 2014 100%
Waqas Rashid Individual 5% Or Greater Direct Ownership Interest Oct 15, 2015 100%
Corporate OfficerCeo Oct 15, 2015 100%
Operational/Managerial ControlAdministrator/Ceo 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

Verify at the official NPI Registry.