Organization Active NPI

Abf Home Health Services LLC

  • Home Health Agency
  • Mount Clemens, MI
National Provider Identifier
1992029417
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ABF HOME HEALTH SERVICES LLC
Doing business as
ALL ABOUT FAMILY HOME HEALTH SERVICES LLC
Practice address
198 S Main St
#1
Mount Clemens, MI 48043-7917
Phone
(586) 477-1402
Fax
(586) 477-1413
NPI assigned
Mar 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Authorized official

Name
Sarah Blackstock
Title
Administrator
Phone
(586) 477-1402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

198 S Main St
#1
Mount Clemens, MI 48043-7917

Mailing address

198 S Main St
#1
Mount Clemens, MI 48043-7917
Phone (586) 477-1402

Other identifiers 2

IdentifierTypeStateIssuer
1992029417MedicaidMI
OE874OtherMIBCBS

Other names 1

  • ALL ABOUT FAMILY HOME HEALTH SERVICES LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100603000136 MI Part A Provider - Home Health Agency 0749319549 Practice locations: Mount Clemens, MI

Home health agency certification: CCN 239176

Legal name
ABF HOME HEALTH SERVICES LLC
Doing business as
ALL ABOUT FAMILY HOME HEALTH SERVICES LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 16, 2011
Last certification
May 2, 2014
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Apr 20, 2010 in MI
Enrollment address
198S Main St 1
Mount Clemens, MI 48043-7917
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Abf Home Health ServicesCCN 239176 · All quality measures
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Jun 16, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, 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
23D2007658Abf Home Health Services LLC198 S Main Street #1, Mount Clemens, MI 48043Certificate of waiverMay 20, 2028

National Provider Directory

National Provider Directory

Locations

198 S Main St
Ste 1
Mount Clemens, MI 48043
Phone (586) 477-1402

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Melody Ford Individual 5% Or Greater Direct Ownership InterestDirector of Clinical Services May 26, 2024 50%
Corporate Officer May 26, 2024 50%
Sarah Blackstock Individual 5% Or Greater Direct Ownership InterestAdministrator May 26, 2024 50%
Corporate OfficerAdministrator May 26, 2024 50%
Operational/Managerial ControlAdministrator May 26, 2024 50%

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

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": "1269561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1992029417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 S MAIN ST",
            "address_2": "#1",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480437917",
            "telephone_number": "586-477-1402",
            "fax_number": "586-477-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 S MAIN ST",
            "address_2": "#1",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480437917",
            "telephone_number": "586-477-1402",
            "fax_number": "586-477-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABF HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-26",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "BLACKSTOCK",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "586-477-1402"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992029417",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "OE874",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALL ABOUT FAMILY HOME HEALTH SERVICES LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ALL ABOUT FAMILY HOME HEALTH SERVICES LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Clemens, MI

Sources for this page

Verify at the official NPI Registry.