NPIMap

Organization Active NPI

Millennium Home Health Care, Inc

  • Home Health Agency
  • Southfield, MI
National Provider Identifier
1992791511
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
237449 Issued in MI
Legal business name
MILLENNIUM HOME HEALTH CARE, INC
Practice address
18600 W 10 Mile Rd
Suite # 104
Southfield, MI 48075-2645
Phone
(248) 569-9303
Fax
(248) 569-9728
NPI assigned
Sep 20, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Farid A Kazi
Title
Ceo/President
Phone
(248) 569-9303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 237449 MI Primary

Addresses

Primary practice location

18600 W 10 Mile Rd
Suite # 104
Southfield, MI 48075-2645

Mailing address

18600 W 10 Mile Rd
Suite # 104
Southfield, MI 48075-2645
Phone (248) 569-9303

Other identifiers 2

IdentifierTypeStateIssuer
OE920OtherMIBCBS OF MICH
4247249MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050919000902 MI Part A Provider - Home Health Agency 9638103765 Practice locations: Southfield, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992791511. Details of each certification follow.

Home health agency certification: CCN 237449

Legal name
MILLENNIUM HOME HEALTH CARE, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 11, 2000
Last certification
Oct 6, 2014
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 15, 2000 in MI
Enrollment address
18600 W 10 Mile Rd
Ste 104
Southfield, MI 48075-2645

Care Compare: Home health agency

Medicare Care Compare
Listed as
Millennium Home Health CareCCN 237449 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Aug 11, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

18600 W 10 Mile Rd
Ste 104
Southfield, MI 48075
Phone (248) 569-9303

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
Farid Kazi Individual 5% Or Greater Direct Ownership Interest Dec 22, 1999 100%
Corporate Director Jan 15, 2000
W-2 Managing Employee Jan 15, 2000

Practitioners & affiliated clinicians

Affiliated clinicians 6

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": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992791511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18600 W 10 MILE RD",
            "address_2": "SUITE # 104",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752645",
            "telephone_number": "248-569-9303",
            "fax_number": "248-569-9728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18600 W 10 MILE RD",
            "address_2": "SUITE # 104",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752645",
            "telephone_number": "248-569-9303",
            "fax_number": "248-569-9728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM HOME HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAZI",
        "authorized_official_first_name": "FARID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "248-569-9303",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "237449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICH",
            "identifier": "OE920",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4247249",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.