MICHIGAN PREMIER HOME CARE AND HOSPICE LLC
NPI 1396025607
Home Health in West Branch, MI

NPI Status: Active since August 18, 2011

Contact Information

312 E HOUGHTON AVE
SUITE B
WEST BRANCH, MI
ZIP 48661
Phone: (989) 345-0033
Fax: (989) 345-0055

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  • Organization
  • Home Health
  • CLIA Number: 23D2090649
  • CLIA Cert. Type: Hospice
  • CLIA Exp. Date: 01-27-2027

About MICHIGAN PREMIER HOME CARE AND HOSPICE LLC

This page provides the complete NPI Profile along with additional information for Michigan Premier Home Care And Hospice Llc, a provider established in West Branch, Michigan operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1396025607 assigned on August 2011. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Jabeen Bukhari (Administrator)

NPI
1396025607
Provider Name
MICHIGAN PREMIER HOME CARE AND HOSPICE LLC
Entity Type
Organization
Location Address
312 E HOUGHTON AVE SUITE B WEST BRANCH, MI 48661
Location Phone
(989) 345-0033
Location Fax
(989) 345-0055
Mailing Address
312 E HOUGHTON AVE SUITE B WEST BRANCH, MI 48661
Mailing Phone
(989) 345-0033
Mailing Fax
(989) 345-0055
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-18-2011
Last Update Date
10-13-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Home Health

Taxonomy Code
251E00000X
Type
Agencies
Taxonomy Description
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JABEEN BUKHARI

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(989) 345-0033

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
239276MEDICARE OSCAR/CERTIFICATION (06) 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D2090649
Facility Type
Hospice
Certificate Effective Date
January 28, 2025
Certificate Expiration Date
January 27, 2027
Laboratory Director
KENNETH J. GALLMORE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Michigan Premier Home Care And Hospice Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MICHIGAN PREMIER HOME CARE AND HOSPICE LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1396025607
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23186021060
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 8 + 6 + 0 + 2 + 1 + 0 + 6 + 0 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1396025607 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1447317136FAMILY FOOT AND ANKLE CENTER, P.C.
Organization
Podiatrist (Foot & Ankle Surgery)312 E HOUGHTON AVE
WEST BRANCH, MI 48661
(989) 667-4663
1821327834MICHIGAN PREMIER HOME HEALTH CARE LLC
Organization
Home Health312 E HOUGHTON AVE SUITE A
WEST BRANCH, MI 48661
(989) 345-0021
1326405432MICHIGAN PREMIER PRIVATE DUTY, LLC
Organization
In Home Supportive Care312 E HOUGHTON AVE
WEST BRANCH, MI 48661
(989) 345-0021

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396025607, enumerated in the NPI registry as an "organization" on August 18, 2011

The provider is located at 312 E Houghton Ave Suite B West Branch, Mi 48661 and the phone number is (989) 345-0033

This medical organization specializes in Home Health with taxonomy code 251E00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 23D2090649 for a "hospice" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on August 18, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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