Organization Active NPI

Patient Care Home Health Specialist, Inc

  • Home Health Agency
  • Southfield, MI
National Provider Identifier
1952567737
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PATIENT CARE HOME HEALTH SPECIALIST, INC
Practice address
16000 W 9 Mile Rd
Suite # 412
Southfield, MI 48075-4808
Phone
(248) 552-1333
Fax
(248) 858-2894
NPI assigned
Jul 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

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

Authorized official

Name
Mr. Syed A. Shahab
Title
President
Phone
(248) 552-1333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

16000 W 9 Mile Rd
Suite # 412
Southfield, MI 48075-4808

Mailing address

16000 W. Nine Mile Road
Suite # 412
Southfield, MI 48075-4839
Phone (248) 552-1333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080814000411 MI Part A Provider - Home Health Agency 2466527163 Practice locations: Southfield, MI

Home health agency certification: CCN 239058

Legal name
PATIENT CARE HOME HEALTH SPECIALIST, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 28, 2009
Last certification
Aug 28, 2015
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 30, 2008 in MI
Enrollment address
16000 W 9 Mile Rd
Ste 412
Southfield, MI 48075-4839

Care Compare: Home health agency

Medicare Care Compare
Listed as
Patient Care Home Health SpecialistCCN 239058 ยท All quality measures
Overall star rating
2 of 5
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

National Provider Directory

National Provider Directory

Locations

16000 W 9 Mile Rd
Ste 412
Southfield, MI 48075
Phone (248) 552-1333

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
Gurnoor Kaur Individual Corporate OfficerOffice Manager/ Asst Admin Aug 6, 2014
Mohit Wadhwa Individual 5% Or Greater Direct Ownership InterestManagerial Billing Consultative Aug 6, 2014 100%
Corporate OfficerOffice Manager/ Assistant Admin Aug 6, 2014 20%
Corporate DirectorDirector of Nursing Aug 6, 2014 30%
W-2 Managing EmployeeAdministrator Aug 6, 2014 50%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266537600000",
    "number": "1952567737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16000 W. NINE MILE ROAD",
            "address_2": "SUITE # 412",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754839",
            "telephone_number": "248-552-1333",
            "fax_number": "248-858-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 W 9 MILE RD",
            "address_2": "SUITE # 412",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754808",
            "telephone_number": "248-552-1333",
            "fax_number": "248-858-2894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT CARE HOME HEALTH SPECIALIST, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2010-02-19",
        "status": "A",
        "authorized_official_last_name": "SHAHAB",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-552-1333",
        "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 Southfield, MI

Sources for this page

Verify at the official NPI Registry.