OrganizationActive
Medicaid Home Services LLC
NPI 1194600379 · In Home Supportive Care Agency · Niles, MI
Medicaid Home Services LLC is a In Home Supportive Care Agency organization in Niles, MI (NPI 1194600379).
Provider details
- NPI number
- 1194600379
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- John Oconnor, President(248) 520-5750
Specialties & taxonomies
Agencies
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
777 Bryant Ave
Niles, MI 49120-1592
Phone: (248) 520-5750
Street-level locationGet directions
Mailing address
777 Bryant Ave
Niles, MI 49120-1592
Registry dates
- Enumerated
- 2025-08-07
- Last updated
- 2025-08-07
- Certified
- 2025-08-07
Frequently asked questions
- What is Medicaid Home Services LLC's NPI number?
- Medicaid Home Services LLC's National Provider Identifier (NPI) is 1194600379, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medicaid Home Services LLC?
- Medicaid Home Services LLC is classified in the NPPES registry as In Home Supportive Care Agency (Agencies).
- Where is Medicaid Home Services LLC located?
- Medicaid Home Services LLC's practice location on file with NPPES is 777 Bryant Ave, Niles, MI 49120-1592.
- What is Medicaid Home Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Medicaid Home Services LLC is (248) 520-5750.
- Who is the authorized official for Medicaid Home Services LLC?
- The authorized official listed on Medicaid Home Services LLC's NPPES record is John Oconnor, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medicaid Home Services LLC's NPI active?
- Yes — Medicaid Home Services LLC's NPI (1194600379) is active in the NPPES registry as of the last update on 2025-08-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.