Elsmar Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ELSMAR HOME HEALTH CARE LLC

Practice address

2727 2ND Ave
Suite 156
Detroit, MI 48201-2658

Phone

(313) 961-5500

Fax

(313) 961-5501

NPI assigned

May 18, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Maureen A Levy, RN

Title

Administrator/Ceo

Phone

(313) 961-5500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Home health agency certification: CCN 237665

Legal name

ELSMAR HOME HEALTH CARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 17, 2007

Last certification

Apr 22, 2010

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Mar 20, 2002 in MI

Enrollment address

2727 2ND Avenue
Suite 156
Detroit, MI 48201-2673

Listed as

Elsmar Home Health CareCCN 237665

Ownership

Proprietary

Certified

Mar 17, 2007

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1962455121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 2ND AVE",
            "address_2": "SUITE 156",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012658",
            "telephone_number": "313-961-5500",
            "fax_number": "313-961-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 2ND AVE",
            "address_2": "SUITE 156",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012658",
            "telephone_number": "313-961-5500",
            "fax_number": "313-961-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELSMAR HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "313-961-5500",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5189954",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mona Saber Abdel Monem Elsayed, MD
• Yosra Ehab Elsayed
• Mohamed A. Elshaikh, M.D.
• Mohamed A. Elshayeb, M.D
• Ahmed Elsiddig Abdelrahim Elsiddig
• Nasser Elsouri, MD
• Hazem A Eltahawy, MD
• Husam Eltahir, MD
• Mohammed Eltahir, M.D.
• Lynnette Marie Ely Whitfield, LLPC

• Home Health Agency in Detroit, MI
• Providers in Detroit, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.

Verify at the official NPI Registry.