Organization Active NPI

Atlantic Home Health Care Inc.

  • Home Health Agency
  • Southfield, MI
National Provider Identifier
1962656306
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ATLANTIC HOME HEALTH CARE INC.
Practice address
21701 W 11 Mile Rd Ste 12
Southfield, MI 48076-3713
Phone
(248) 688-9771
Fax
(248) 688-9773
NPI assigned
Nov 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Authorized official

Name
Helen Eburuche
Title
President
Phone
(313) 948-9714

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

21701 W 11 Mile Rd Ste 12
Southfield, MI 48076-3713

Mailing address

21701 W 11 Mile Rd Ste 12
Southfield, MI 48076-3713
Phone (248) 688-9771

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090513000617 MI Part A Provider - Home Health Agency 8820147218 Practice locations: Southfield, MI

Home health agency certification: CCN 239143

Legal name
ATLANTIC HOME HEALTH CARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 9, 2010
Last certification
Aug 8, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Nov 10, 2008 in MI
Enrollment address
21701 W 11 Mile Rd
Ste 12
Southfield, MI 48076-3713
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Atlantic Home Health Care, IncCCN 239143
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Nov 9, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, 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
23D1096477Atlantic Home Health Care Inc21701 W 11 Mile Road Suite 12, Southfield, MI 48076Certificate of waiverMar 4, 2027

National Provider Directory

National Provider Directory

Locations

21701 W 11 Mile Rd
Ste 12
Southfield, MI 48076
Phone (248) 688-9771

2888 E Long Lake Rd
Ste 140
Troy, MI 48085
Phone (248) 688-9771

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
Helen N Eburuche Individual 5% Or Greater Direct Ownership Interest Nov 7, 2017 100%
Corporate OfficerCeo/President Nov 7, 2017 100%
W-2 Managing EmployeeAdministrator Nov 7, 2017 100%

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1226448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1962656306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21701 W 11 MILE RD STE 12",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763713",
            "telephone_number": "248-688-9771",
            "fax_number": "248-688-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21701 W 11 MILE RD STE 12",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763713",
            "telephone_number": "248-688-9771",
            "fax_number": "248-688-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC HOME HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-12",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "EBURUCHE",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-948-9714"
    },
    "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.