Organization Active NPI

Home Pro-Care, Inc.

  • Home Health Agency
  • Sterling Heights, MI
National Provider Identifier
1972500833
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
237278 Issued in MI
Legal business name
HOME PRO-CARE, INC.
Practice address
5418 Metropolitan Pkwy
Sterling Heights, MI 48310-4103
Phone
(586) 795-1331
Fax
(586) 795-1332
NPI assigned
Jul 6, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Authorized official

Name
Arlyne Michael, R.N.
Title
President
Phone
(586) 795-1331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 237278 MI Primary

Addresses

Primary practice location

5418 Metropolitan Pkwy
Sterling Heights, MI 48310-4103

Mailing address

5418 Metropolitan Pkwy
Sterling Heights, MI 48310-4103
Phone (586) 795-1331

Other identifiers 2

IdentifierTypeStateIssuer
OE815OtherMIBCBSM MEDICARE SUPPLEMENTAL
3320139MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120330000286 MI Part A Provider - Home Health Agency 0648212035 Practice locations: Farmington Hills, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972500833. Details of each certification follow.

Home health agency certification: CCN 237278

Legal name
HOME PRO-CARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 4, 1995
Last certification
Oct 15, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Feb 22, 1994 in MI
Enrollment address
27908 Orchard Lake Rd
Ste a
Farmington Hills, MI 48334-3757
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Home Pro CareCCN 237278 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Apr 4, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Physical 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
23D0890325Home Pro Care Inc27908 Orchard Lake Road Suite a, Farmington Hills, MI 48334Certificate of waiverFeb 22, 2027

National Provider Directory

National Provider Directory

Locations

5418 Metropolitan Pkwy
Sterling Heights, MI 48310
Phone (586) 795-1331

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
Josephine Imatong Individual 5% Or Greater Direct Ownership Interest Sep 6, 2017 100%
Corporate OfficerCeo Sep 6, 2017 100%
Corporate DirectorDirector Sep 6, 2017 100%
W-2 Managing EmployeeCeo Sep 6, 2017 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 2

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": "1120608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1972500833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5418 METROPOLITAN PKWY",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104103",
            "telephone_number": "586-795-1331",
            "fax_number": "586-795-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5418 METROPOLITAN PKWY",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104103",
            "telephone_number": "586-795-1331",
            "fax_number": "586-795-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME PRO-CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-06",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "MICHAEL",
        "authorized_official_first_name": "ARLYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-795-1331",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "237278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM MEDICARE SUPPLEMENTAL",
            "identifier": "OE815",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3320139",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.