Aimm Home Healthcare, Inc.
Organization Active NPI Home Health Agency · Troy, MI
NPI 1962658112 · NPPES record last updated Nov 21, 2018
Key facts
- NPI
- 1962658112
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- AIMM HOME HEALTHCARE, INC.
- Practice address
- 4086 Rochester Road
Suite 204
Troy, MI 48085-4945 - Phone
- (248) 542-4303
- Fax
- (248) 542-4309
- NPI assigned
- Aug 7, 2008
- Organization subpart
- No
Authorized official
- Name
- Lana Dela Cruz Llena, RN
- Title
- President
- Phone
- (248) 542-4303
Owners & managing parties with NPI records 1
Practitioners 1
Affiliated clinicians 1
-
Robert Aquino, DO
Medicare Care Compare: Home health agency
- Listed as
- Aimm Home Healthcare
- Ownership
- Proprietary
- Certified
- Feb 28, 2010
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Home health agency certification: CCN 239107
- Legal name
- AIMM HOME HEALTHCARE, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Feb 28, 2010
- Last certification
- Apr 5, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation · Proprietary
- Incorporated
- Aug 6, 2008 in MI
- Enrollment address
- 739 E 12 Mile Rd
Madison Heights, MI 48071-2533
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Lana Llena |
5% Or Greater Direct Ownership Interest |
Feb 28, 2010 | 100% |
| 5% Or Greater Indirect Ownership Interest |
Feb 28, 2010 | 100% | |
| Corporate Officer |
Feb 28, 2010 | 100% | |
| Corporate Director | Feb 28, 2010 | ||
| W-2 Managing Employee |
Feb 28, 2010 | 100% | |
| Michael Rosario Espinoza |
W-2 Managing Employee |
Feb 28, 2010 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090218000091 | MI | Part a Provider - Home Health Agency | 2466517990 | Practice locations: Madison Heights, MI |
National Provider Directory
Locations
1 Ajax Dr
Ste 100
Madison Heights, MI 48071
Phone (248) 542-4303
739 E 12 Mile Rd
Madison Heights, MI 48071
Phone (248) 542-4303
4086 Rochester Rd
Ste 204
Troy, MI 48085
Phone (248) 542-4303
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
4086 Rochester Road
Suite 204
Troy, MI 48085-4945
Mailing address
4086 Rochester Road
Suite 204
Troy, MI 48085-4945
Phone (248) 542-4303
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.