Active NPI
Delta Home Health Care LLC
- Home Health Agency
- Southfield, MI
National Provider Identifier
1972768059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- DELTA HOME HEALTH CARE LLC
- Practice address
- 17515 W 9 Mile Rd Ste 525
Southfield, MI 48075-4420 - Phone
- (248) 905-3087
- Fax
- (888) 335-6559
- NPI assigned
- Jul 28, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ruby Scott, RN
- Title
- Administrator
- Phone
- (248) 905-3087
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | MI | Primary |
Addresses
Primary practice location
17515 W 9 Mile Rd Ste 525
Southfield, MI 48075-4420
Mailing address
17515 W 9 Mile Rd Ste 525
Southfield, MI 48075-4420
Phone (248) 905-3087
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080821000258 | MI | Part A Provider - Home Health Agency | 8426123720 | Practice locations: Farmington Hills, MI |
Home health agency certification: CCN 239054
- Legal name
- DELTA HOME HEALTH CARE LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Oct 22, 2009
- Last certification
- Jun 10, 2021
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Jul 7, 2008 in MI
- Enrollment address
- 31868 Northwestern Hwy
Farmington Hills, MI 48334-1628
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Delta Home Health Care, LLC
- Ownership
- Proprietary
- Certified
- Oct 22, 2009
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider Directory- Tax ID family
- Delta Home Health Care LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Farmington Hills, MI
- NPI 1073373122
Locations
5918 N Lilley Rd
Ste 4
Canton, MI 48187
Phone (248) 552-9926
17515 W 9 Mile Rd
Ste 525
Southfield, MI 48075
Phone (248) 905-3087
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Ruby L Scott | 5% Or Greater Direct Ownership Interest | Apr 19, 2018 | 100% |
| Corporate Officer | Apr 19, 2018 | ||
| Corporate Director | Apr 19, 2018 | 100% | |
| W-2 Managing Employee | Apr 19, 2018 | 100% | |
| Operational/Managerial Control | Apr 19, 2018 | 100% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217203200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772668800000",
"number": "1972768059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17515 W 9 MILE RD STE 525",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754420",
"telephone_number": "248-905-3087",
"fax_number": "888-335-6559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17515 W 9 MILE RD STE 525",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754420",
"telephone_number": "248-905-3087",
"fax_number": "888-335-6559"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELTA HOME HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-28",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A",
"authorized_official_last_name": "SCOTT",
"authorized_official_first_name": "RUBY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "248-905-3087",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.