Organization Active NPI

Acute Home Healthcare, Inc.

  • Home Health Agency
  • Troy, MI
National Provider Identifier
1922013630
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ACUTE HOME HEALTHCARE, INC.
Practice address
1633 W Big Beaver Rd
Troy, MI 48084-3501
Phone
(248) 816-1600
Fax
(248) 816-5080
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Authorized official

Name
Yasser Alkhafaji
Title
Ceo
Phone
(248) 816-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1633 W Big Beaver Rd
Troy, MI 48084-3501

Mailing address

1633 W Big Beaver Rd
Troy, MI 48084-3501
Phone (248) 816-1600

Other identifiers 1

IdentifierTypeStateIssuer
4834109MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050523000458 MI Part A Provider - Home Health Agency 0547202335 Practice locations: Troy, MI

Home health agency certification: CCN 237590

Legal name
ACUTE HOME HEALTHCARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 20, 2005
Last certification
Nov 3, 2017
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 2, 2005 in MI
Enrollment address
1633 W Big Beaver Rd
Troy, MI 48084-3501

Care Compare: Home health agency

Medicare Care Compare
Listed as
Acute Home Healthcare, IncCCN 237590
Ownership
Proprietary
Certified
Dec 20, 2005
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

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Yasser Alkhafaji Individual 5% Or Greater Direct Ownership Interest Mar 3, 2005 100%
Corporate OfficerCeo Mar 3, 2005 100%
Corporate DirectorCeo Mar 3, 2005 100%
W-2 Managing EmployeeCeo Mar 3, 2005 100%

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1922013630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 W BIG BEAVER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843501",
            "telephone_number": "248-816-1600",
            "fax_number": "248-816-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 W BIG BEAVER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843501",
            "telephone_number": "248-816-1600",
            "fax_number": "248-816-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUTE HOME HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "ALKHAFAJI",
        "authorized_official_first_name": "YASSER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-816-1600"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4834109",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.